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he Montessori approach believes that discipline should be
- A. External
- B. Internal
- C. Punitive
- D. Authoritative
Correct Answer: B
Rationale: Montessori promotes internal discipline through self-regulation, not external enforcement.
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A patient who has HIV asks the nurse why blood work has to be done so frequently. Which response should the nurse make to the patient?
- A. B-lymphocyte levels increase if you have an acute infection.'
- B. Phagocytes are decreased when the disease is in an active phase.'
- C. Neutrophil counts help the doctor titrate medication levels to keep you healthy.'
- D. CD4+ lymphocyte counts are monitored to determine the progression of the disease.'
Correct Answer: D
Rationale: The correct answer is D because monitoring CD4+ lymphocyte counts is crucial in managing HIV. CD4+ cells are the primary target of the HIV virus, and their count reflects the status of the immune system and disease progression. By tracking CD4+ levels, healthcare providers can determine the need for antiretroviral therapy and assess the effectiveness of treatment.
Choice A is incorrect because B-lymphocytes are not typically used to monitor HIV progression. Choice B is incorrect as phagocytes are not specifically related to HIV disease progression. Choice C is incorrect as neutrophils are not the primary indicator for managing HIV.
It has been estimated that 20%, or 45 million, adults ages 18 or older in the United States have experienced a mental illness in the past year. Which nursing intervention is directed toward addressing the greatest barrier to successful treatment outcomes for these individuals?
- A. Educating clients as to the importance of completing their treatment recommendations
- B. Identifying resources where medications can be secured at reduced or no cost
- C. Actively involving the client in the planning of his or her mental health care
- D. Evaluating the client for compliance with his or her plan of care frequently
Correct Answer: A
Rationale: The correct answer is A: Educating clients as to the importance of completing their treatment recommendations. This intervention is crucial because lack of understanding about the importance of completing treatment can lead to non-compliance, which is a significant barrier to successful treatment outcomes. By educating clients, nurses can empower them to take ownership of their health and adhere to their treatment plans.
Choice B is incorrect because while identifying resources for medications is important, it may not address the underlying issue of non-compliance. Choice C, involving the client in planning care, is important but may not directly address non-compliance. Choice D, evaluating compliance frequently, is necessary but does not address the root cause of non-compliance. Therefore, the most effective intervention is to educate clients about the importance of completing their treatment recommendations.
The greatest incidence of extramarital sex for women occurs among those in their
- A. Thirties
- B. Fifties
- C. Forties
- D. Twenties
Correct Answer: C
Rationale: Research indicates women in their 40s are most likely to engage in extramarital sex.
he Montessori approach believes that learning is
- A. Passive
- B. Active
- C. Teacher-driven
- D. Routine
Correct Answer: B
Rationale: Montessori views learning as an active process driven by the child's engagement.
Andrew, a New York City firefighter, and his entire unit responded to the terrorist attacks at the World Trade Center. Working as a team, he and his best friend, Carlo, entered the area together. Carlo was killed when the building collapsed. Andrew was injured, but survived. Since that time, Andrew has had frequent nightmares and anxiety attacks. He says to the mental health worker, 'I don’t know why Carlo had to die and I didn’t!' This statement by Andrew suggests that he is experiencing:
- A. Spiritual distress
- B. Night terrors
- C. Survivor’s guilt
- D. Suicidal ideation
Correct Answer: C
Rationale: The correct answer is C: Survivor's guilt. Andrew's statement indicates feelings of guilt and confusion about why he survived while Carlo did not. Survivor's guilt is a common psychological response in individuals who have lived through a traumatic event where others did not. Andrew's frequent nightmares and anxiety attacks are also typical symptoms of survivor's guilt.
A: Spiritual distress is not the correct answer in this scenario as Andrew's statement does not specifically reference any spiritual or religious beliefs or conflicts.
B: Night terrors may be a symptom of Andrew's PTSD, but his statement about not understanding why he survived while Carlo did not suggests a deeper emotional struggle beyond just experiencing night terrors.
D: Suicidal ideation is not the correct answer as Andrew's statement does not indicate any desire or intention to harm himself. Rather, he is expressing confusion and guilt about surviving the traumatic event.