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During an assessment interview with a newly admitted client, the nurse identifies a sense of anger developing in response to the client's defiant statements. In order to maintain a therapeutic environment, the nurse:
- A. Asks that another nurse continue the assessment.
- B. Identifies for the client the inappropriateness of his statements.
- C. Shares with the client that he appears angry about being admitted.
- D. Postpones the remainder of the interview until the client is more cooperative.
Correct Answer: C
Rationale: Rationale:
C is correct because it acknowledges the client's emotions without judgment, fostering trust and open communication. It validates the client's feelings and helps explore the underlying issues. A avoids addressing the situation directly. B could escalate the client's defensiveness. D may reinforce the client's behavior by allowing avoidance.
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----study of twins found that hypersensitivity to light and sound may have a strong genetic component:
- A. 2005
- B. 2006
- C. 2007
- D. 2008
Correct Answer: C
Rationale: A 2007 twin study linked hypersensitivity to genetics, supporting SPD's hereditary basis.
The humanistic theorist developed the hierarchy of needs.
- A. Abraham Maslow
- B. Sigmund Freud
- C. Erik Erikson
- D. Jean Piaget
Correct Answer: A
Rationale: Abraham Maslow introduced the hierarchy of needs as part of his humanist theory. This theory consisted of five levels of need. Maslow's hierarchy of needs begins at a lower level and proceeds to a higher level.
Grasping the pencil represents a child's
- A. Gross motor skills
- B. Fine motor skills
- C. Large motor skills
- D. None of these
Correct Answer: B
Rationale: Grasping a pencil requires fine motor precision.
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.
Reinforcer is used to the behaviour
- A. Strengthen
- B. Weaken
- C. Perform
- D. Remove
Correct Answer: A
Rationale: Reinforcers strengthen behavior (Skinner).