Nokea
A patient with generalized anxiety disorder (GAD) is prescribed BuSpar. What is important to inform the patient before discharge?
- A. This medication may take several weeks to take effect
- B. Alternative medications
- C. Severe headache
- D. Urinary retention
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. BuSpar is an anxiolytic medication that may take weeks to reach full effectiveness.
2. Patient education is crucial to manage expectations and ensure compliance.
3. Informing the patient about the delayed onset helps prevent premature discontinuation.
Summary:
B: Alternative medications - Not relevant to informing the patient before discharge.
C: Severe headache - Not a common side effect of BuSpar.
D: Urinary retention - Not a common side effect of BuSpar.
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The symbolic interaction theory defined 'generalizing others' as
- A. The group of structural theories of society that a person was reacting against
- B. A significant figure in early childhood who teaches us the general values of the society
- C. An image of how people in the wider society might perceive our behavior
- D. The overall impression of ourselves that we try to give to others
Correct Answer: C
Rationale: The generalized other (Mead) is how we imagine society perceives us, shaping behavior.
Police bring a patient to the emergency department after an automobile accident. The patient is ataxic with slurred speech and mild confusion. The blood alcohol level is 400 mg/dl (0.4 mg %). Considering the relationship between behavior and blood alcohol level, which conclusion can the nurse draw? The patient:
- A. rarely drinks alcohol.
- B. has a high tolerance to alcohol.
- C. has been treated with disulfiram (Antabuse).
- D. has recently ingested both alcohol and sedative drugs.
Correct Answer: B
Rationale: The correct answer is B: the patient has a high tolerance to alcohol. At a blood alcohol level of 400 mg/dl, most individuals would exhibit severe symptoms such as unconsciousness or coma. However, this patient only shows mild symptoms of ataxia, slurred speech, and confusion, indicating a high tolerance to alcohol. This high tolerance suggests that the patient regularly consumes large amounts of alcohol, leading to an adaptation in the body's response to alcohol.
Choice A is incorrect because a blood alcohol level of 400 mg/dl is indicative of significant alcohol consumption, contradicting the statement that the patient rarely drinks alcohol. Choice C is incorrect as disulfiram is used to treat alcohol dependence, not tolerance. Choice D is incorrect since sedative drugs would exacerbate the effects of alcohol, causing more severe symptoms than what is observed in this case.
Which of the following questions is an effective way to elicit a Patient's explanatory model of illness regarding tuberculosis symptoms?
- A. What is your understanding of tuberculosis?
- B. How long have you had tuberculosis?
- C. Does your family have a history of tuberculosis?
- D. Have you ever been tested for tuberculosis?
Correct Answer: A
Rationale: This question invites patients to share their beliefs about the illness, key to understanding their perspective.
Mr. and Mrs. Jones have been married for 21 years. Mr. Jones is the family breadwinner, and Mrs. Jones has never worked outside the home. Mr. Jones has always made all the decisions for the family and Mrs. Jones has always been compliant. According to the strategic model of family therapy, this is an example of which of the following?
- A. Marital schism
- B. Pseudomutuality
- C. Marital skew
- D. Pseudohostility
Correct Answer: C
Rationale: The correct answer is C: Marital skew. In the strategic model of family therapy, marital skew refers to an imbalance of power and decision-making within a relationship where one partner dominates and the other complies. In this scenario, Mr. Jones making all decisions and Mrs. Jones being compliant indicates an unequal power dynamic, leading to marital skew.
A: Marital schism typically involves extreme emotional distance and lack of communication, which is not evident in the given scenario.
B: Pseudomutuality involves an appearance of harmony but lacks true emotional connection, which does not align with the power dynamics described.
D: Pseudohostility refers to a facade of conflict to avoid deeper issues, which is not reflective of the submissive-dominant dynamic presented.
How many categories of test used in guidance:
- A. 5
- B. 4
- C. 6
- D. 3
Correct Answer: A
Rationale: Guidance tests (e.g., aptitude, interest, personality, achievement, intelligence) are typically categorized as 5.