Nokea
Foreign medical graduates (FMGs) constitute what percentage of physicians in the U.S.?
- A. 5%
- B. 15%
- C. 25%
- D. 35%
Correct Answer: C
Rationale: FMGs make up about 25% of U.S. physicians, per current data.
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At this stage the group members will begin to develop a feeling of group cohesion and identity:
- A. Forming
- B. Storming
- C. Norming
- D. Performing
Correct Answer: C
Rationale: Norming (Tuckman) fosters cohesion and a unified group identity through shared norms.
As the registered nurse in the emergency department, you are taking care of an adolescent client who had just fractured their femur during gymnasium class at their high school. After casting, you will be discharging the client with crutches. Which of the following client goals that is paired with its learning domain should be included in the patient teaching plan for this client and the parents?
- A. Psychomotor domain: The client will slightly bend their elbows when holding the hand grips.
- B. Psychomotor domain: The client will rest their weight on the padded areas on the top of the crutches.
- C. Cognitive domain: The client will slightly bend their elbows when holding the hand grips.
- D. Cognitive domain: The nurse will tell the client how often the tips on the crutches must be replaced.
Correct Answer: A
Rationale: Psychomotor domain (A) involves physical skills like crutch use.
A new patient in an alcoholism rehabilitation program says, 'I’m just a social drinker. I usually have a drink or two at brunch, a few cocktails in the afternoon, wine at dinner, and a few drinks in the evening.' Which response by the nurse will help the patient view the drinking more honestly?
- A. I see,' and use interested silence.
- B. I think you may be drinking more than you report.'
- C. Being a social drinker involves having a drink or two once or twice a week.'
- D. You describe drinking steadily throughout the day and evening. Am I correct?'
Correct Answer: D
Rationale: Step 1: The nurse needs to provide a reflection that highlights the patient's patterns of drinking.
Step 2: Option D reflects the patient's drinking pattern accurately and objectively.
Step 3: By repeating the patient's own words back to them, the nurse helps the patient see the extent of their drinking.
Step 4: This response encourages the patient to reflect on their alcohol consumption more honestly.
Step 5: Option D is correct as it addresses the patient's behavior directly and prompts self-reflection.
Summary:
- Option A is passive and does not challenge the patient's perception.
- Option B is confrontational and may lead to defensiveness.
- Option C provides a generalized definition of social drinking, not addressing the patient's specific behavior.
Why are patients advised not to abruptly discontinue a benzodiazepine regimen?
- A. Potential for seizures
- B. Have many side effects
- C. Serotonin syndrome
- D. but do not abruptly stop taking medication - can cause withdrawal symptom
Correct Answer: A
Rationale: The correct answer is A: Potential for seizures. Abruptly discontinuing benzodiazepines can lead to withdrawal symptoms, including seizures, due to the sudden decrease in GABA activity in the brain. This can result in serious health risks. Option B is incorrect as side effects are not the primary reason for gradual tapering. Option C is unrelated, as serotonin syndrome is associated with other types of medications. Option D is incorrect because withdrawal symptoms, not side effects, are the main concern when stopping benzodiazepines abruptly.
The nurse has been discussing actions to prevent AIDS-related wasting syndrome with a patient being treated for AIDS. Which patient statements indicate an understanding of this teaching? (Select all that apply.)
- A. Eat a low-residue diet.
- B. Drink liquids before meals.
- C. Enjoy food odors to stimulate appetite.
- D. Numb painful oral sores with ice or popsicles.
Correct Answer: A
Rationale: The correct answer is A: Eat a low-residue diet. This is because AIDS-related wasting syndrome can lead to malabsorption issues and gastrointestinal symptoms, making it difficult for the body to absorb nutrients from food. A low-residue diet is recommended to reduce the amount of fiber and bulk in the diet, making it easier for the body to digest and absorb nutrients. Choices B, C, and D are incorrect as they do not specifically address the nutritional needs of a patient with AIDS-related wasting syndrome. Drinking liquids before meals may help with appetite but does not address nutrient absorption. Enjoying food odors may stimulate appetite but does not focus on nutrient intake. Numbing oral sores with ice or popsicles addresses symptom management but does not address the underlying issue of nutrient absorption.