Nokea
A nurse talks with a person whose spouse died suddenly while jogging. Which is the appropriate statement for the nurse?
- A. At least your spouse did not suffer.
- B. It's better to go quickly as your spouse did.
- C. The loss of your spouse must be very painful for you.
- D. You'll begin to feel better after you get over the shock.
Correct Answer: C
Rationale: The most helpful responses by others validate the bereaved persons experience of loss. Avoid banalities; they increase the individuals sense of isolation.
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A patient prone to manic episodes is reevaluated and diagnosed with acute kidney injury. Which medication would the nurse anticipate holding? A. Xanax B. Carbamazepine (Tegretol) C. Nifedipine D. Lithium
- A. Xanax
- B. Carbamazepine (Tegretol)
- C. Nifedipine
- D. Lithium
Correct Answer: D
Rationale: The correct answer is D, Lithium. In a patient prone to manic episodes with acute kidney injury, Lithium should be held due to its potential to worsen renal function. Xanax (A) is not typically contraindicated in acute kidney injury. Carbamazepine (B) may be used cautiously but does not have the same risk as Lithium. Nifedipine (C) is a calcium channel blocker and does not directly impact kidney function in the same way Lithium does.
When advising an Asian Indian patient to reduce his/her risk for coronary heart disease, which of the following dietary changes would be the most effective?
- A. Recommend healthy substitutions for ingredients typically found in traditional food
- B. Avoid curry, a common Indian spice
- C. Recommend the addition of lean beef
- D. Replace herbs in the patient's diet with salt
Correct Answer: A
Rationale: Substitutions maintain cultural relevance while improving heart health.
Which mental health service focuses on a largely underserved at-risk population?
- A. Stress management classes for new mothers
- B. A support group for recovering male alcoholics
- C. A depression support group for adolescent children
- D. Socialization therapy for adults diagnosed with schizophrenia
Correct Answer: C
Rationale: The correct answer is C: A depression support group for adolescent children. This population is largely underserved due to stigma, lack of resources, and limited awareness. Adolescents are at a vulnerable stage in their lives and may struggle to express their emotions and seek help. Providing a support group specifically tailored to address their mental health needs can offer a safe space for them to share experiences, receive guidance, and build coping skills. Stress management classes for new mothers (A) target a specific demographic but not as underserved as adolescent children. A support group for recovering male alcoholics (B) and socialization therapy for adults with schizophrenia (D) also address important mental health issues but are not focused on as an underserved population as adolescent children struggling with depression.
Girls mature than boys.
- A. Slower
- B. Faster
- C. Both of these
- D. None of these
Correct Answer: B
Rationale: Girls typically reach physical and cognitive maturity faster than boys, especially in early development.
Undesirable behaviour is also weakened or eliminated by
- A. Positive reinforcement
- B. Extinction
- C. Equilibrium
- D. All of these
Correct Answer: B
Rationale: Extinction removes reinforcement to weaken behavior (Skinner).