Nokea
Forensic nursing combines scientific knowledge and inquiry in an effort to serve:
- A. Victims of crime
- B. Perpetrators of violence
- C. Victims and perpetrators of crime
- D. Families of crime victims
Correct Answer: C
Rationale: The correct answer is C because forensic nursing serves both victims and perpetrators of crime. Forensic nurses provide care, collect evidence, and testify in legal proceedings for all individuals involved in a crime. Choice A is incorrect because forensic nursing is not exclusive to victims. Choice B is incorrect as it does not encompass the holistic approach of forensic nursing. Choice D is incorrect as it focuses solely on the families of crime victims, rather than the individuals directly involved.
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Malika agrees to try losing weight according to the nurse practitioner's outlined plan. Additional teaching is warranted when Malika states:
- A. I am willing to admit I am depressed.
- B. Psychotherapy will be a part of my treatment.
- C. I prefer to have a gastric bypass rather than use this plan.
- D. My comorbid conditions may improve with weight loss.
Correct Answer: C
Rationale: Rationale:
C is correct because choosing gastric bypass over the outlined plan indicates a lack of commitment to the agreed weight loss plan. It suggests that Malika may not be fully engaged in following the recommendations provided by the nurse practitioner. This choice also implies a preference for a more invasive and potentially risky procedure over a more conservative approach. Options A, B, and D are incorrect because they do not challenge or contradict the nurse practitioner's plan, indicating a willingness to address depression, engage in psychotherapy, and recognize potential benefits of weight loss on comorbid conditions.
A nurse is working with a client with co-occurring disorders who is in the early stages of recovery. The client has been abstained from using alcohol for the past 3 weeks. During a follow-up visit, the nurse is working on teaching the client about the effects of alcohol on his body. Which of the following would be most important for the nurse to keep in mind about the client?
- A. The client will be highly suggestible to information
- B. being unable to reason critically.
- C. The alcohol abuse has destroyed the brain cells that are necessary for learning.
- D. Some cognitive impairment may be present that hinders his ability to learn new things.
Correct Answer: D
Rationale: The correct answer is D. In clients with co-occurring disorders in early recovery, cognitive impairment from alcohol use may hinder their ability to learn new things. This is crucial to consider as it directly impacts the client's learning process. Option A is incorrect as suggestibility is not the main concern in this scenario. Option B is incorrect as critical reasoning ability is not the primary focus. Option C is incorrect as brain cells can regenerate, and not all are destroyed by alcohol abuse. Therefore, understanding and addressing potential cognitive impairment is key for effective teaching and support in the client's recovery journey.
Which statement shows a nurse has empathy for a patient who made a suicide attempt?
- A. "You must have been very upset when you tried to hurt yourself."
- B. "It makes me sad to see you going through such a difficult experience."
- C. "If you tell me what is troubling you, I can help you solve your problems."
- D. "Suicide is a drastic solution to a problem that may not be such a serious matter."
Correct Answer: A
Rationale: The correct answer is A because it directly acknowledges the patient's emotions and perspective without judgment. It shows understanding and validation of the patient's feelings, indicating empathy. Choice B focuses on the nurse's feelings, not the patient's. Choice C offers a solution without addressing the patient's emotional state. Choice D minimizes the seriousness of the patient's situation and lacks empathy. Overall, choice A demonstrates the most empathetic response by recognizing and empathizing with the patient's emotional distress.
When alprazolam is prescribed for a patient who experiences acute anxiety, health teaching should include instructions to
- A. report drowsiness.
- B. eat a tyramine-free diet.
- C. avoid alcoholic beverages.
- D. adjust dose and frequency based on anxiety level.
Correct Answer: C
Rationale: The correct answer is C: avoid alcoholic beverages. This is because alprazolam is a central nervous system depressant, and alcohol also has depressant effects. Combining the two can potentiate sedation and respiratory depression. Reporting drowsiness (A) is important but not specific to alprazolam. Eating a tyramine-free diet (B) is relevant for certain medications like MAOIs, not alprazolam. Adjusting dose and frequency based on anxiety level (D) is not recommended as it can lead to misuse or dependence.
Based on assessment data, the nurse formulates the nursing diagnosis for a patient as sleep pattern disturbance. After teaching the patient how to relax before bedtime, the nurse determines that the teaching was effective by which outcome?
- A. Discusses feelings about not being able to fall asleep
- B. Reports feeling rested on awakening in the morning within 3 days
- C. Requests sleeping medication each night before bedtime
- D. Is able to sleep for short intervals throughout the night
Correct Answer: B
Rationale: The correct answer is B because feeling rested upon awakening indicates improved sleep quality, reflecting effective teaching on relaxation techniques. Choice A does not directly measure the effectiveness of the teaching intervention. Choice C indicates reliance on medication rather than improved sleep hygiene. Choice D, sleeping for short intervals, does not necessarily signify improved sleep quality.