Nokea
Girls mature than boys.
- A. Slower
- B. Faster
- C. Both of these
- D. None of these
Correct Answer: B
Rationale: Girls typically reach physical and cognitive maturity faster than boys, especially in early development.
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A patient is curious about Reiki, a Japanese spiritual practice often used as a complementary therapy. Reiki falls under which category of complementary and alternative medicine?
- A. Manipulative and body-based methods
- B. Alternative medical systems
- C. Energy therapies
- D. Mind-body medicine
Correct Answer: C
Rationale: Reiki is classified as an energy therapy, focusing on energy flow.
Which treatment has been identified as a best practice for persons with borderline personality disorder?
- A. Dialectical behavioral therapy (DBT)
- B. Cognitive Behavioral Therapy (CBT)
- C. Mindfulness-Based Cognitive Therapy (MBCT)
- D. Exposure and Response Prevention (ERP)
Correct Answer: A
Rationale: The correct answer is A: Dialectical Behavioral Therapy (DBT). DBT is specifically designed for individuals with borderline personality disorder, focusing on emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness. It has shown to be effective in reducing self-harm behaviors and improving overall functioning. CBT (B) may be helpful for some symptoms but lacks the comprehensive approach of DBT. MBCT (C) is primarily used for depression and may not address the specific needs of individuals with borderline personality disorder. ERP (D) is used for anxiety disorders, not BPD.
When communicating with a Muslim patient about end-of-life issues, which of the following statements best shows respect and mindfulness about Muslim beliefs?
- A. Death is expected soon
- B. We are fighting a losing battle
- C. We need to start considering options for hospice care
- D. No one knows when, where, or how someone will die
Correct Answer: D
Rationale: This reflects Islamic belief in divine will, showing cultural sensitivity.
An older adult client has been asked to participate in a randomized controlled trial (RCT) related to the development of a new psychotropic medication. The nurse responsibly acts as the client's advocate when:
- A. Reassuring the client that the process of RCTs is a perfectly safe one.
- B. Explaining to the client the possible risks involved in participating in this particular RCT.
- C. Educating the client's family concerning the details of participating in such a medication-focused RCT.
- D. Assessing the degree of understanding the client has about what a medication-focused RCT will involve.
Correct Answer: D
Rationale: The correct answer is D because assessing the client's understanding is crucial to ensure informed consent and autonomy. By assessing the client's comprehension, the nurse can verify if the client is aware of the potential risks, benefits, and procedures involved in the RCT. This step is essential to uphold the client's rights and ensure they make an informed decision.
Choice A is incorrect because it does not address the importance of assessing the client's understanding and may provide false reassurance. Choice B is incorrect as it only focuses on explaining risks without assessing the client's comprehension. Choice C is incorrect as educating the family does not ensure the client's understanding and involvement in decision-making.
The nurse is preparing to care for a patient who is HIV positive. Which action should the nurse take when following standard precautions for protection from HIV exposure?
- A. Put on gloves before touching body fluids.
- B. Recap intramuscular needles after injection.
- C. Wash own open skin lesion after providing care.
- D. Remove one finger on a glove during venipuncture.
Correct Answer: A
Rationale: The correct answer is A: Put on gloves before touching body fluids. This is because wearing gloves is a standard precaution to prevent exposure to HIV through contact with bodily fluids. Gloves create a barrier between the nurse's skin and the patient's fluids, reducing the risk of transmission. Recapitulating needles (B) can increase the risk of needle-stick injuries. Washing own open skin lesions (C) is important for personal hygiene but does not prevent HIV transmission. Removing one finger on a glove (D) compromises the protective barrier and exposes the nurse to potential infection.