Nokea
A patient undergoing alcohol rehabilitation decides to accept disulfiram (Antabuse) therapy to avoid impulsively responding to drinking cues. Which information should be included in the discharge teaching for this patient? Select all that apply.
- A. Avoid aged cheeses.
- B. Read labels of all liquid medications.
- C. Wear sunscreen and avoid bright sunlight.
- D. Maintain an adequate dietary intake of sodium.
Correct Answer: B
Rationale: Step 1: Disulfiram causes a severe adverse reaction when combined with alcohol.
Step 2: Liquid medications may contain alcohol, causing a disulfiram-alcohol reaction.
Step 3: Reading labels of all liquid medications helps the patient avoid alcohol-containing products.
Step 4: A, C, and D are incorrect as they are not directly related to disulfiram therapy or alcohol avoidance.
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When diet is affected by cultural factors, which in turn significantly impact a patient's health care, which of the following approaches is appropriate?
- A. Recommend immediate cessation of the usual diet and provide a list of prohibited foods
- B. Allow the patient to continue his/her usual diet and adjust medications accordingly
- C. Discuss the underlying cultural factors related to the usual diet and explore options within that paradigm that might be better suited to the patient's health
- D. Suggest that the patient instead see a physician who shares his/her cultural background
Correct Answer: C
Rationale: Discussing cultural factors and options respects traditions while promoting health.
ne greatest incidence of extra marital sex for women occurs among those in their
- A. thirties
- B. fifties
- C. forties
- D. twenties
Correct Answer: C
Rationale: Research shows women in their 40s are more likely to engage in extramarital sex, often tied to midlife shifts.
Counseling is done as part of the work of the teacher
- A. Non-specialist
- B. Informal
- C. Professional
- D. Specialized
Correct Answer: A
Rationale: Teachers offer non-specialist counseling within their role.
The most appropriate nursing intervention with Jenny (from question 5) would be to:
- A. Make arrangements for her to start attending Alateen meetings.
- B. Help her identify the positive things in her life and recognize that her situation could be a lot worse than it is.
- C. Teach her about the effects of alcohol on the body and that it can be hereditary.
- D. Refer her to a psychiatrist for private therapy to learn to deal with her home situation.
Correct Answer: A
Rationale: The correct answer is A because Alateen meetings provide support and understanding for teenagers living with family members struggling with alcoholism. Attending these meetings can help Jenny feel less alone, gain coping strategies, and build a support network with peers in similar situations.
Choice B is incorrect as it minimizes Jenny's struggles and may invalidate her feelings. Choice C focuses on the biological aspect of alcoholism, which may not address Jenny's emotional needs. Choice D involves a referral to a psychiatrist for private therapy, which may not provide the peer support and understanding that Alateen meetings can offer.
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.