After ensuring the patient understands the nature of sleep apnea and how to use the CPAP machine, which of the following measures would be effective in improving low CPAP adherence?
- A. Contact family members and loved ones to encourage patient adherence
- B. Discuss barriers that the patient has encountered when using the device
- C. Start the patient on a mild sedative to be taken nightly
- D. Enroll the patient in a sleep study to monitor CPAP usage
Correct Answer: B
Rationale: Identifying specific barriers tailors solutions to improve CPAP use.
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Aponte says all SFT therapists' actions should flow from structural and functional hypotheses.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Aponte emphasizes hypotheses as the basis for targeted interventions in SFT.
Which of the following approaches would be most effective in treating patients who have been unsuccessful at losing weight?
- A. Motivational interviewing
- B. Teach back approach
- C. Referral to a dietitian
- D. Recommendation of self-help books
Correct Answer: A
Rationale: Motivational interviewing addresses ambivalence and boosts commitment.
You are caring for a client at the end of life. The client tells you that they are grateful for having considered and decided upon some end of life decisions and the appointments of those who they wish to make decisions for them when they are no longer able to do so. During this discussion with the client and the client's wife, the client states that “my wife and I are legally married so I am so glad that she can automatically make all healthcare decisions on my behalf without a legal durable power of attorney when I am no longer able to do so myself†and the wife responds to this statement with, “that is not completely true. I can only make decisions for you and on your behalf when these decisions are not already documented on your advance directive.†How should you, as the nurse, respond to and address this conversation between the husband and wife and the end of life?
- A. You should respond to the couple by stating that only unanticipated treatments and procedures that are not included in the advance directive can be made by the legally appointed durable power of attorney for healthcare decisions.
- B. You should be aware of the fact that the wife of the client has a knowledge deficit relating to advance directives and durable powers of attorney for healthcare decisions and plan an educational activity to meet this learning need.
- C. You should be aware of the fact that the client has a knowledge deficit relating to advance directives and durable powers of attorney for healthcare decisions and plan an educational activity to meet this learning need.
- D. You should reinforce the wife's belief that legally married spouses automatically serve for the other spouse's durable power of attorney for health care decisions and that others than the spouse cannot be legally appointed while people are married
Correct Answer: B
Rationale: The wife demonstrates a knowledge deficit regarding advance directives and durable powers of attorney, necessitating education.
Metabolic syndrome includes low HDL-C and elevated blood pressure defined in men by which of the following?
- A. HDL-C <50 mg/dL and blood pressure ≥120/75 mm Hg
- B. HDL-C <40 mg/dL and blood pressure ≥130/85 mm Hg
- C. HDL-C <35 mg/dL and blood pressure ≥135/85 mm Hg
- D. HDL-C <30 mg/dL and blood pressure ≥140/90 mm Hg
Correct Answer: B
Rationale: Standard criteria define low HDL-C as <40 mg/dL and hypertension as ≥130/85 mm Hg in men.
The child's ability to understand symbolism develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: B
Rationale: Symbolic thinking, like using symbols for objects, begins in the preoperational stage (Piaget).
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