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A patient who was admitted for a heroin overdose received naloxone (Narcan), which improved the breathing pattern. Two hours later, the patient reports muscle aches, abdominal cramps, gooseflesh and says, 'I feel terrible.' Which analysis is correct?
- A. The patient is exhibiting a prodromal symptom of seizures.
- B. An idiosyncratic reaction to naloxone is occurring.
- C. Symptoms of opiate withdrawal are present.
- D. The patient is experiencing a relapse.
Correct Answer: C
Rationale: The correct analysis is C: Symptoms of opiate withdrawal are present. The patient's presentation of muscle aches, abdominal cramps, gooseflesh, and feeling terrible are classic symptoms of opiate withdrawal. Naloxone, as an opioid antagonist, reversed the effects of heroin leading to withdrawal symptoms. This is a typical response seen in patients who have been given naloxone to counteract opioid overdose. Choices A and B are incorrect as they do not align with the patient's clinical presentation and pharmacological understanding. Choice D is also incorrect as there is no indication that the patient has resumed heroin use.
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Which of the following is a correct assumption regarding the concept of crisis?
- A. Crises occur only in individuals with psychopathology.
- B. The stressful event that precipitates crisis is seldom identifiable.
- C. A crisis situation contains the potential for psychological growth or deterioration.
- D. Crises are chronic situations that recur many times during an individual’s life.
Correct Answer: C
Rationale: The correct assumption regarding the concept of crisis is C: A crisis situation contains the potential for psychological growth or deterioration. This is correct because crisis situations are often pivotal moments that can lead to either positive personal development or negative outcomes. In times of crisis, individuals may experience increased stress and emotional turmoil, but they also have the opportunity to learn from the experience, develop resilience, and make positive changes in their lives.
Choices A, B, and D are incorrect:
A: Crises do not occur only in individuals with psychopathology. Anyone can experience a crisis regardless of their mental health status.
B: The stressful event that precipitates crisis is often identifiable, as it can be triggered by various factors such as loss, trauma, or sudden change.
D: Crises are not chronic situations that recur many times during an individual’s life. They are usually acute events that require immediate attention and resolution.
he theorist who believes that human behavior is influenced by culture is
- A. Sigmund Freud
- B. Carl Rogers
- C. Lev Vygotsky
- D. Erik Erikson
Correct Answer: C
Rationale: Lev Vygotsky stressed the role of culture in shaping cognitive and behavioral development.
Which statement made by a mental health nurse demonstrates the need for further education regarding active listening as a therapeutic communication technique?
- A. When I use therapeutic silence, I'm giving the client time to think and reflect.'
- B. Sharing perceptions doesn't mean I tell the client how my experiences are similar to his.'
- C. I generally find it helpful to ask the client why he blames others for the mistakes he's made.'
- D. It's not therapeutic to give the client suggestions as to what he needs to do to fix his problems.'
Correct Answer: C
Rationale: The correct answer is C because asking the client why he blames others is not a recommended approach in active listening. This statement shows a lack of understanding of active listening principles. Active listening focuses on listening without judgment or assumptions, understanding the client's perspective, and reflecting back their feelings. Asking why a client blames others can come across as confrontational and may hinder the therapeutic relationship. Choices A, B, and D demonstrate an understanding of active listening principles by emphasizing the importance of silence, avoiding sharing personal experiences, and refraining from giving direct advice, respectively.
During the third week of treatment, the spouse of a patient in an alcoholism rehabilitation program says, 'After discharge, I’m sure everything will be just fine.' Which remark by the nurse will be most helpful to the spouse?
- A. It is good that you’re supportive of your spouse’s sobriety and want to help maintain it.'
- B. Although sobriety solves some problems, new ones may emerge as one adjusts to living without alcohol.'
- C. It will be important for you to structure life to avoid as much stress as possible. You will need to provide social protection.'
- D. Remember that alcoholism is a disease of self-destruction. You will need to observe your spouse’s behavior carefully.'
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the spouse's optimism while also gently highlighting the potential challenges that may arise during the recovery process. By pointing out that new problems may emerge as the patient adjusts to a life without alcohol, the nurse prepares the spouse for potential difficulties and encourages realistic expectations.
Choice A is incorrect because it only acknowledges the spouse's support without addressing the potential challenges ahead. Choice C is incorrect because it focuses solely on stress avoidance rather than preparing for the overall adjustment process. Choice D is incorrect because it emphasizes monitoring the patient's behavior rather than addressing the spouse's outlook and potential struggles.
The most common framework for examining the 'how' of group formation was developed by Bruce Tuckman in the
- A. 1960s
- B. 1970s
- C. 1980s
- D. 1990s
Correct Answer: A
Rationale: Tuckman introduced his group development model in 1965, refined in the 1970s.