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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What is the ethical principle of 'Beneficence' obligation?
- A. Doctor-patient discussions are privileged and confidential
- B. Physicians should tell the truth
- C. Physicians should act in the best interest of the patient
- D. Patients have the right to make their own decisions
Correct Answer: C
Rationale: Beneficence mandates acting in the patient's best interest.
A patient comes to an outpatient appointment obviously intoxicated. The nurse should:
- A. explore the patient’s reasons for drinking today.
- B. arrange admission to an inpatient psychiatric unit.
- C. coordinate emergency admission to a detoxification unit.
- D. tell the patient, 'We cannot see you today because you’ve been drinking.'
Correct Answer: D
Rationale: Step-by-step rationale for Answer D (Correct):
1. Safety first: Intoxicated patients can be a safety risk to themselves and others.
2. Ethical responsibility: Providing care to an intoxicated patient may compromise the quality of care.
3. Setting boundaries: Communicating that the appointment cannot proceed due to intoxication sets a clear boundary.
4. Referral assistance: The patient can be directed to appropriate resources for help with substance abuse.
Summary of why other choices are incorrect:
A (explore reasons): Not appropriate when patient is intoxicated. B (inpatient unit): Premature without assessing the situation. C (detox unit): Immediate detox may not be necessary.
Which documentation indicates that the treatment plan for a patient in an alcohol rehabilitation program was effective?
- A. Is abstinent for 10 days and states, 'I can maintain sobriety 1 day at a time.' Spoke with employer, who is willing to allow the patient to return to work in 3 weeks.
- B. Is abstinent for 15 days and states, 'My problems are under control.' Plans to seek a new job where co-workers will not know history.
- C. Attends AA daily; states many of the members are 'real' alcoholics and states, 'I may be able to help some of them find jobs at my company.'
- D. Is abstinent for 21 days and says, 'I know I can’t handle more than one or two drinks in a social setting.'
Correct Answer: A
Rationale: The correct answer is A because it demonstrates a positive change in behavior and mindset. The patient has been abstinent for 10 days, shows commitment to sobriety, and has a supportive employer. This indicates progress and readiness to reintegrate into work.
Choice B shows longer abstinence but still relies on external factors for control. Choice C focuses on helping others rather than personal progress. Choice D mentions limitations on alcohol consumption, which may not reflect true recovery.
Which of the following personnel do has the “right to know†medical information?
- A. The facility's Performance Improvement Director who is not a healthcare person and who has no direct contact with clients
- B. A nursing student who is caring for a client under the supervision of the nursing instructor
- C. The facility's Safety Officer who is not a healthcare person and who has no direct contact with clients
- D. A department supervisor with no direct or indirect care duties
Correct Answer: B
Rationale: Personnel without direct client contact generally do not have the 'right to know'.
In this stage the group is likely to see the highest level of disagreement and conflict:
- A. Forming
- B. Storming
- C. Norming
- D. Performing
Correct Answer: B
Rationale: Storming (Tuckman) involves conflict as roles and dynamics are negotiated.