Nokea
A newly hospitalized patient has needle tracks on both arms. A friend states that the patient uses heroin daily but has not used in the past 24 hours. The nurse should assess the patient for:
- A. slurred speech, excessive drowsiness, and bradycardia
- B. paranoid delusions, tactile hallucinations, and panic
- C. runny nose, yawning, insomnia, and chills
- D. anxiety, agitation, and aggression
Correct Answer: C
Rationale: Rationale:
- Choice C is correct as the patient is exhibiting symptoms of heroin withdrawal, including runny nose, yawning, insomnia, and chills.
- Choice A is incorrect because it describes symptoms of central nervous system depressants, not heroin withdrawal.
- Choice B is incorrect as it describes symptoms of hallucinogens, not heroin withdrawal.
- Choice D is incorrect as it describes symptoms of stimulants, not heroin withdrawal.
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Which of the following barriers to health care may have created health disparities for lesbians in the U.S.?
- A. Homophobia
- B. Lack of insurance
- C. Socioeconomic level
- D. Level of education
Correct Answer: A
Rationale: Homophobia drives disparities by limiting access and comfort in care settings.
McMillan placed high value on the education of
- A. Imagination
- B. Modeling
- C. Creativity
- D. Play
Correct Answer: D
Rationale: Margaret McMillan saw play as essential for child development.
How might the perspectives of financially secure patients with respect to end-of-life care differ from those of disadvantaged patients?
- A. Financially secure patients are more likely to insist that everything be done to keep them alive
- B. Disadvantaged patients may interpret end-of-life care as an attempt to deny essential treatments
- C. Disadvantaged patients are more likely to want to spend their last days outside the hospital
- D. Financially secure patients are more likely to demand placement in assisted living facilities to avoid burdening their families
Correct Answer: B
Rationale: Disadvantaged patients may distrust end-of-life care due to historical inequities, perceiving it as withheld treatment.
Place the following phases of crisis in the correct sequential order. Order each response with a number from first to last, with #1 as the first phase of crisis to #4 which is the fourth phase of crisis. 1. The signs and symptoms of the General Adaptation Syndrome 2. Detachment and disorientation 3. Trying alternative methods of coping 4. The use of psychological ego defense mechanisms
- A. 3,2,1,4
- B. 1,2,3,4
- C. 4,3,2,1
- D. 4,3,1,2
Correct Answer: B
Rationale: Crisis phases (B: 1,2,3,4) follow GAS, detachment, coping attempts, and defense mechanisms.
Which statement by an older adult who has recently had hip replacement surgery supports that her positive attitude is contributing to her mental health wellness?
- A. I know I can't go hiking like I did, but I really miss it so much.'
- B. I can't go hiking, but I still enjoy walking in the park in the afternoon.'
- C. If I work really hard in rehab, I think I'll be able to hike again next spring.'
- D. Hiking gave me such pleasure, but if I can't hike, I'll just have to get used to it.'
Correct Answer: B
Rationale: The correct answer is B because it demonstrates a positive attitude and adaptability. The older adult acknowledges the limitation of not being able to hike but focuses on enjoying walking in the park, showing resilience and a proactive approach to finding joy in other activities. Choice A reflects a focus on what is missed, choice C is future-oriented without accepting the current situation, and choice D shows resignation rather than a positive outlook. Overall, choice B showcases a realistic yet optimistic perspective that supports mental health wellness after hip replacement surgery.