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----% have mild intellectual disability:
- A. 88
- B. 89
- C. 85
- D. 86
Correct Answer: C
Rationale: About 85% of those with intellectual disability have mild forms, manageable with support.
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According to the 'Self Determination Theory' of Ryan and Deci (2000), life satisfaction derives from the fulfillment of three fundamental psychological needs. These are autonomy, relatedness, and:
- A. Success
- B. Love
- C. Excellence
- D. Competence
Correct Answer: D
Rationale: Self-Determination Theory (Ryan & Deci, 2000) includes autonomy, relatedness, and competence.
What benzodiazepines are commonly given to patients experiencing symptoms related to alcohol withdrawal?
- A. Valium
- B. Ativan
- C. Librium
- D. Sedation
Correct Answer: A
Rationale: Step-by-step rationale:
1. Valium (Diazepam) is commonly used in alcohol withdrawal due to its long-acting properties and effectiveness in managing symptoms.
2. Ativan (Lorazepam) is also used, but Valium is preferred for its longer duration of action.
3. Librium (Chlordiazepoxide) is another option with a long half-life, but Valium is more commonly used.
4. Sedation is not a benzodiazepine and does not directly address alcohol withdrawal symptoms.
In summary, Valium is preferred for alcohol withdrawal due to its long-acting properties, followed by Ativan and Librium. Sedation is not a benzodiazepine and does not treat alcohol withdrawal symptoms.
You are the Nurse Manager for the trauma unit. Which of these staff comments or statements do not indicate the need for you to provide an educational activity relating to confidentiality and information security?
- A. “A computer in the hallway was left unattended and a client's medical record was visible to me.â€
- B. “I j ust saw a nursing student looking at the medical record for a client that they are NOT caring for during this clinical experience.â€
- C. “As I was walking past the nursing station, I saw a dietician reading the progress notes written by members of the laboratory department in addition to other dieticians' progress notes.â€
- D. “I refused the nursing supervisor's request to share my electronic password for the new nurse on the unit.â€
Correct Answer: D
Rationale: These scenarios highlight breaches in confidentiality and security.
The Mini Mental State Exam is most appropriately used when the:
- A. Focus of the exam is the client's cognitive function.
- B. Interview must be completed in 10 minutes or less.
- C. Client is agitated and unwilling to complete the full version.
- D. Test is meant to establish a client's mood at the time of admission.
Correct Answer: A
Rationale: The correct answer is A because the Mini Mental State Exam is specifically designed to assess a client's cognitive function, including orientation, memory, attention, and language skills. This makes it ideal for evaluating cognitive impairment, dementia, and other neurological conditions. The other choices are incorrect because B focuses on time constraints rather than the purpose of the exam, C addresses behavioral issues rather than assessment goals, and D pertains to mood assessment rather than cognitive function evaluation. Therefore, A is the best choice for the appropriate use of the Mini Mental State Exam.
An older adult with Alzheimers disease lives with family in a rural area. During the week, the person attends a day care center while the family is at work. In the evenings, members of the family provide care. Which factor makes this patient most vulnerable to abuse?
- A. Multiple caregivers
- B. Alzheimers disease
- C. Living in a rural area
- D. Being part of a busy family
Correct Answer: B
Rationale: Older adults are at high risk for violence, particularly those with cognitive impairments. The other characteristics are not identified as placing an individual at high risk.