Nokea
Achievement during occupation and stability depends on relation between human personality and ----------------
- A. Human capabilities
- B. Qualification
- C. Occupational surroundings
- D. Working strategy
Correct Answer: C
Rationale: Holland's theory ties career success to the fit between personality and occupational environment.
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Sarah is an African American woman who receives a visit from the psychiatric home health nurse. A referral for a mental health assessment was made by the public health nurse, who noticed that Sarah was becoming exceedingly withdrawn. When the psychiatric nurse arrives, Sarah says to her, 'No one can help me. I was an evil person in my youth, and now I must pay.' How might the nurse assess this statement?
- A. Sarah is having delusions of persecution.
- B. Some African Americans believe illness is God's punishment for their sins.
- C. Sarah is depressed and just wants to be left alone.
- D. African Americans do not believe in psychiatric help.
Correct Answer: B
Rationale: Sarah's statement about being an evil person in her youth and needing to pay suggests a cultural or spiritual belief that illness is a punishment for sins, common among some African Americans, aligning with option b.
A nurse is called to the home of a neighbor and finds an unconscious person still holding a medication bottle labeled pentobarbital sodium. What is the nurse’s first action?
- A. Test reflexes
- B. Check pupils
- C. Initiate vomiting
- D. Establish a patent airway
Correct Answer: D
Rationale: The correct answer is D: Establish a patent airway. The first action in any emergency situation involving an unconscious person is to ensure their airway is open and clear to facilitate breathing. This is crucial for maintaining oxygenation and preventing potential complications like hypoxia. Testing reflexes (A) and checking pupils (B) are important assessments but not the immediate priority in this situation. Initiating vomiting (C) is contraindicated as it can lead to further complications, especially if the person has ingested a potentially harmful substance.
Which finding indicates the successful completion of an individuals grieving process?
- A. For two years, a person has kept the deceased spouses belongings in their usual places.
- B. After 15 months, a widowed person realistically remembers both the pleasures and disappointments of the relationship with the spouse.
- C. Three years after the death, a person talks about the spouse as if the spouse was still alive and weeps when others mention the spouses name.
- D. Eighteen months after the spouses death, a person says, I never cry or have feelings of loss even though we were always very close.
Correct Answer: B
Rationale: The work of grieving is over when the bereaved can remember the individual realistically and acknowledge both the pleasure and disappointments associated with the loved one. The individual is then free to enter into new relationships and activities. The other options suggest unresolved grief.
The nurse is monitoring a patient with AIDS. Which manifestation should the nurse expect to observe in this patient?
- A. Diarrhea
- B. Chest pain
- C. Hypertension
- D. Pustular skin lesions
Correct Answer: A
Rationale: The correct answer is A: Diarrhea. Patients with AIDS commonly experience diarrhea due to opportunistic infections or medications. This can lead to dehydration and malnutrition. Choice B is incorrect because chest pain is not a typical manifestation of AIDS. Choice C is incorrect as hypertension is not a common symptom of AIDS. Choice D is incorrect as pustular skin lesions are not typically associated with AIDS. Monitoring for diarrhea is crucial to prevent complications in AIDS patients.
Under what conditions is the DOT program most successful?
- A. When DOT is carried out in a way that is convenient for a patient to enable completion of the recommended therapy
- B. When DOT is monitored directly by an attending physician at a local health center
- C. When DOT is only administered when the patient's symptoms of illness are most severe, based on the patient's wishes
- D. When DOT is administered when the patient cooperates with hospital instructions
Correct Answer: A
Rationale: Convenience ensures patients can complete DOT, critical for its success.