Nokea
Describe the focus and issues typical of Level 3 families.
- A. Basic survival and safety concerns
- B. Relational conflicts like marital issues
- C. Identity, intimacy, and self-esteem
- D. Philosophical and existential questions
Correct Answer: C
Rationale: Level 3 families focus on personal growth and individuation, with issues like identity and intimacy, requiring introspective interventions rather than survival or relational fixes.
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McMillan placed high value on the education of
- A. Imagination
- B. Modeling
- C. Creativity
- D. Play
Correct Answer: D
Rationale: Margaret McMillan saw play as essential for child development.
What is the role of the physician when the patient lacks decisionmaking capacity and someone other than a family member has been designated as the surrogate decision maker?
- A. Follow the instructions of the family and ignore the surrogate
- B. Ignore the family and talk only to the surrogate
- C. Serve as a mediator between parties and encourage all groups to work together in the best interest of the patient, consistent with the patient's wishes
- D. Consult legal affairs to determine who should be the decisionmaker
Correct Answer: C
Rationale: Mediation ensures collaboration and honors the patient's designated surrogate.
A patient undergoing alcohol rehabilitation decides to accept disulfiram (Antabuse) therapy to avoid impulsively responding to drinking cues. Which information should be included in the discharge teaching for this patient? Select all that apply.
- A. Avoid aged cheeses.
- B. Read labels of all liquid medications.
- C. Wear sunscreen and avoid bright sunlight.
- D. Maintain an adequate dietary intake of sodium.
Correct Answer: B
Rationale: Step 1: Disulfiram causes a severe adverse reaction when combined with alcohol.
Step 2: Liquid medications may contain alcohol, causing a disulfiram-alcohol reaction.
Step 3: Reading labels of all liquid medications helps the patient avoid alcohol-containing products.
Step 4: A, C, and D are incorrect as they are not directly related to disulfiram therapy or alcohol avoidance.
Which medication is the nurse most likely to see prescribed as part of the treatment plan for both a patient in an alcoholism treatment program and a patient in a program for the treatment of opioid addiction?
- A. methadone (Dolophine)
- B. bromocriptine (Parlodel)
- C. disulfiram (Antabuse)
- D. naltrexone (Revia)
Correct Answer: D
Rationale: Rationale: Naltrexone (Revia) is the correct answer because it is commonly prescribed for both alcoholism and opioid addiction. It works by blocking the effects of opioids and alcohol in the brain, reducing cravings and helping with relapse prevention. Methadone (A) is primarily used for opioid addiction, while bromocriptine (B) is not commonly used for addiction treatment. Disulfiram (C) is specifically for alcoholism and works by causing unpleasant effects if alcohol is consumed.
The nurse is reinforcing teaching on transmission of HIV for a family of a patient diagnosed with HIV. Which explanation by the nurse would be correct?
- A. HIV can be spread by casual contact.'
- B. HIV lives for long periods outside the body.'
- C. HIV is most commonly transmitted via tears and saliva.'
- D. HIV enters the body through breaks in the skin or mucous membranes.'
Correct Answer: D
Rationale: The correct answer is D because HIV enters the body through breaks in the skin or mucous membranes, such as during unprotected sexual contact or sharing needles. This is crucial information for preventing transmission. Choice A is incorrect as HIV is not spread through casual contact. Choice B is incorrect because HIV does not live for long periods outside the body. Choice C is incorrect as tears and saliva do not typically transmit HIV. Understanding how HIV is transmitted helps in implementing effective prevention strategies.