Nokea
All of the following are suggested ways of enhancing/developing one's self-esteem except
- A. Take action to become aware of your personal strengths
- B. Minimize settings and interactions that detract from your feelings of competence
- C. Talk and socialize frequently with people who boost your self-esteem
- D. All of these are ways to enhance one's self-esteem
Correct Answer: D
Rationale: All listed options are valid strategies to enhance self-esteem (Rosenberg).
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What are the common side effects of the anticonvulsant Divalproex (Depakote)?
- A. GI upset
- B. Headache
- C. Dizziness
- D. Weight gain
Correct Answer: A
Rationale: The correct answer is A: GI upset. Divalproex is known to cause gastrointestinal (GI) upset as a common side effect, including symptoms like nausea, vomiting, and diarrhea. This is due to its irritant effect on the stomach lining.
B: Headache - While headache can be a side effect of some medications, it is not a common side effect of Divalproex.
C: Dizziness - Dizziness can occur as a side effect of Divalproex, but it is less common compared to GI upset.
D: Weight gain - Weight gain is a known side effect of Divalproex, but it is not as common as GI upset. Weight gain typically occurs over time with long-term use.
Your client has a doctor's order for the antihistamine medication diphenhydramine for sleep. What should you do?
- A. Question the order because Benadryl is an antihistamine and not a sleeping medication.
- B. Refuse to give the Benadryl because this medication is a stimulant.
- C. Question the order because Benadryl is contraindicated when the client has a sleep inducement disorder.
- D. Give the Benadryl because sleep inducement is an accepted off label use of this medication.
Correct Answer: D
Rationale: Diphenhydramine (D) is commonly used off-label for sleep.
An older woman diagnosed with Alzheimers disease lives with family and attends day care. After observing poor hygiene, the nurse talked with the caregiver. This caregiver became defensive and said, It takes all my energy to care for my mother. Shes awake all night. I never get any sleep. Which nursing intervention has priority?
- A. Teach the caregiver about the effects of sundowners syndrome.
- B. Secure additional resources for the mothers evening and night care.
- C. Support the caregiver to grieve the loss of the mothers cognitive abilities.
- D. Teach the family how to give physical care more effectively and efficiently.
Correct Answer: B
Rationale: The patients caregivers were coping with care until the patient began to stay awake at night. The family needs assistance with evening and night care to resume their pre-crisis state of functioning. Secondary prevention calls for the nurse to mobilize community resources to relieve overwhelming stress. The other interventions may then be accomplished.
Patients of Asian Indian origin who use alternative medical treatments are most likely to subscribe to which of the following?
- A. Moxibustion
- B. Reiki
- C. Ayurvedic medicine
- D. Opium
Correct Answer: C
Rationale: Ayurvedic medicine is widely used in Indian culture for holistic healing.
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.