Nokea
Case-finding is...
- A. Asking friends/family if they know of people in need so you can build your client base
- B. Looking for folders misplaced on your desktop at work
- C. Finding the particular points of a situation on which to build the client case
- D. N/A
Correct Answer: C
Rationale: Case-finding identifies key situational elements to inform intervention.
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The mourning process is more difficult when the bereaved:
- A. was relatively independent of the deceased.
- B. has experienced a number of previous losses.
- C. accepts that death is expected for older adults.
- D. had few unresolved conflicts with the deceased.
Correct Answer: B
Rationale: Factors that have negative effects on the mourning process include a high dependency on the deceased, ambivalence toward the deceased, a poor or absent support system, a high number of past losses or other recent losses, poor physical or mental health, and young age of the deceased. Data do not support the incorrect options.
A client is questioning why she was told that the nausea she is experiencing with this new antidepressant medication will subside once her medication is regulated. Based on the pharmacologic principle of steady state, the nurse explains that:
- A. When her body reaches a steady point where introduction and elimination of the medication are constant the nausea will stop.
- B. Blood work can be done to determine the appropriate time her body will reach a steady state when the new medication will not cause the nausea.
- C. Antidepressants commonly cause nausea for the first 10 doses and once her body can steady the absorption of the medication the side effect will stop.
- D. Antidepressants have a relatively short half life that will allow for the blood serum's steady state to occur within a few days and then the nausea will stop.
Correct Answer: A
Rationale: The correct answer is A because steady state refers to the point where drug intake equals drug elimination in the body, leading to a constant drug concentration. This equilibrium is reached after approximately 4-5 half-lives of the medication. Once the body reaches steady state, the drug's effects, including nausea, become more predictable and stable.
Choice B is incorrect because blood work cannot determine the exact time it takes for the body to reach steady state.
Choice C is incorrect because the number of doses is not a reliable indicator for when steady state is reached, as it depends on the drug's half-life and individual factors.
Choice D is incorrect because stating that antidepressants have a relatively short half-life is not universally true, and the time to reach steady state can vary depending on the specific medication and individual factors.
A parent is admitted to a chemical dependency treatment unit. The patients spouse and adolescent children participate in a family session. What is the most important aspect of this familys assessment?
- A. Spouses codependent behaviors
- B. Interactions among family members
- C. Patients reaction to the familys anger
- D. Childrens responses to the family sessions
Correct Answer: B
Rationale: Interactions among all family members are the raw material for family problem solving. By observing interactions, the nurse can help the family make its own assessments of strengths and deficits. The other options are narrower in scope when compared with the correct option.
Multiple sclerosis (MS) is a potentially disabling disease of the brain and
- A. Head
- B. Spinal cord
- C. Muscles
- D. Nervous system
Correct Answer: B
Rationale: MS affects the brain and spinal cord, disrupting nerve signals.
Color-coded and gender-typed clothing of infants and children are
- A. No longer allowed in hospitals
- B. Likely to change dramatically in 20 years
- C. Universal
- D. Acceptable only in industrialized countries
Correct Answer: C
Rationale: Gender-typed clothing (e.g., pink for girls) is a universal practice.