Nokea
An adult has a history of physical violence against family when frustrated, followed by periods of remorse after each outburst. Which finding indicates a successful plan of care? The adult:
- A. expresses frustration verbally instead of physically.
- B. explains the rationale for behaviors to the victim.
- C. identifies three personal strengths.
- D. agrees to seek counseling.
Correct Answer: A
Rationale: The patient will have developed a healthier way of coping with frustration if it is expressed verbally instead of physically. The incorrect options do not confirm achievement of outcomes.
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Access to mental health care services has been identified as a necessary component in an effective mental health care system. Which intervention demonstrates an attempt to meet the needs of an underserved group of Americans?
- A. Establishing a mobile mental health clinic that serves residents in a rural farming community
- B. Providing instructions on a variety of stress management techniques to police and fire personnel
- C. Conducting eating disorder screenings at local high schools and colleges
- D. Educating the parents of adolescents on the signs of depression
Correct Answer: A
Rationale: The correct answer is A because establishing a mobile mental health clinic in a rural farming community directly addresses the issue of access to mental health care for an underserved group. This intervention ensures that individuals in remote areas have access to much-needed mental health services. In contrast, choices B, C, and D do not specifically target an underserved group. Choice B focuses on stress management for specific personnel, choice C targets eating disorders screenings in schools, and choice D educates parents on signs of depression but does not directly address access to mental health services for an underserved group. Therefore, choice A is the best option for meeting the needs of an underserved population.
Which of the following is not considered one of the 'Ten Rights of Medication Administration'?
- A. The 'right' verification
- B. The 'right' to refuse
- C. The 'right' documentation
- D. The 'right' client education
Correct Answer: A
Rationale: Verification (A) is not among the standard Ten Rights.
When questioning a patient about his/her alcohol intake, which of the following approaches is most effective?
- A. Frame the question in terms of the patient's ethnicity
- B. Explain that these questions are always part of a routine social history
- C. Joke with the patient about your own alcohol intake
- D. Tell the patient that alcohol is part of everyday life
Correct Answer: B
Rationale: Normalizing the question as routine reduces stigma and encourages honesty.
The nurse notes that a patient with AIDS is prescribed trimethoprim-sulfamethoxazole (Bactrim). For which opportunistic infection should the nurse realize that is this medication indicated?
- A. Tuberculosis
- B. Cytomegalovirus retinitis
- C. Mycobacterium avium complex
- D. Pneumocystis jiroveci pneumonia
Correct Answer: D
Rationale: The correct answer is D: Pneumocystis jiroveci pneumonia. Trimethoprim-sulfamethoxazole is indicated for prophylaxis and treatment of Pneumocystis jiroveci pneumonia, a common opportunistic infection in patients with AIDS. This medication combination is effective in preventing this specific infection due to its spectrum of antimicrobial activity against Pneumocystis jiroveci. Choices A, B, and C are incorrect as trimethoprim-sulfamethoxazole is not primarily indicated for tuberculosis, cytomegalovirus retinitis, or Mycobacterium avium complex.
The theorist associated with attachment theory is
- A. Sigmund Freud
- B. John Bowlby
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: B
Rationale: Bowlby's attachment theory focuses on early caregiver bonds.