Nokea
----aims at discussing and understanding the problem, advising and empowering him to take a decision concerning his/her career or life goals in one-to-one sessions:
- A. Guidance
- B. Counseling
- C. Advice
- D. Advise
Correct Answer: B
Rationale: Counseling empowers decision-making through one-on-one problem exploration (Rogers).
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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.
When seeing an underage child with a parent who does not speak English, which approach would have the greatest positive impact on adherence?
- A. Using a trained medical interpreter
- B. Providing bilingual medical pamphlets for the patient
- C. Giving verbal instructions directly to the patient
- D. Providing written instructions for medications
Correct Answer: A
Rationale: A trained interpreter ensures accurate communication with the parent.
For learning and growth to occur, positive feedback needs to be present
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Positive feedback amplifies change, not stability; learning can occur without it.
The goal of crisis intervention has been met when a mother who lost her job:
- A. Is able to begin a search for a new job.
- B. Is no longer angry with her employer.
- C. Describes her new job as being better than the old one.
- D. Accepts a new job that requires a move to another state.
Correct Answer: C
Rationale: The correct answer is C because the goal of crisis intervention is to help the individual cope with the crisis and move towards a positive resolution. In this case, the mother describing her new job as better than the old one indicates that she has successfully transitioned from the crisis of losing her job to a positive outcome. Choice A is incorrect because just beginning a job search does not guarantee a successful resolution. Choice B is incorrect as resolving anger towards the employer is not the primary goal of crisis intervention. Choice D is incorrect because accepting a job that requires moving may not necessarily mean it is a better job than the previous one.
Joy is occupied exclusively with thoughts of her fathers death. Although Joy is preoccupied with his death, she is still planning to purchase a gift for his birthday, which would have been in two more weeks. Dr. Leone advises the nurse to assist Joy through this stage of grief, which is known as:
- A. Denial.
- B. Anger.
- C. Bargaining.
- D. Acceptance.
Correct Answer: A
Rationale: To protect themselves from the pain of the death, people use denial to unconsciously avoid facing reality and pain from the loss. Denial can seem irrational and can be intermittent.