hen sociologists study the structure of layers in society and peoples movement between them, they call this
- A. Social stratification
- B. Social conflict
- C. Social solidarity
- D. Social control
Correct Answer: A
Rationale: Social stratification studies societal layers (e.g., class) and mobility between them.
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To minimize the risk of injury during an electroconvulsive therapy (ECT) treatment, the nurse:
- A. Times the seizure so it will not last more than 60 seconds.
- B. Monitors the client's electroencephalogram (EEG) for changes in wave patterns.
- C. Inserts a bite-block into the client's mouth prior to the delivery of the electrical stimulus.
- D. Applies a cuff to the client's ankle to facilitate monitoring of blood pressure during the seizure.
Correct Answer: C
Rationale: Correct Answer: C
Rationale: Inserting a bite-block into the client's mouth prior to the delivery of the electrical stimulus helps prevent the client from biting down on their tongue or injuring their teeth during the seizure. This is crucial for minimizing the risk of injury during ECT treatment.
Incorrect Choices:
A: Timing the seizure to not last more than 60 seconds is not directly related to minimizing the risk of injury during ECT treatment.
B: Monitoring the client's EEG for changes in wave patterns is important for assessing the effectiveness of the treatment but does not directly minimize the risk of injury.
D: Applying a cuff to the client's ankle for blood pressure monitoring is important for general monitoring but does not directly address the risk of injury during the seizure.
You are the Assistant Director of Nursing in a multiethnical and culturally diverse inner city acute care facility. You will be chairing a committee to develop a philosophy of nursing that addresses these facility characteristics and the characteristics of the clients. Which theoretical framework would you recommend that this committee should consider when addressing mutiethnicity and the culturally diverse nature of this facility for this philosophy?
- A. Jean Watson's
- B. Martha Rogers'
- C. Nagi's theory
- D. Madeleine Leininger's theory
Correct Answer: D
Rationale: Leininger's theory (D) focuses on cultural care diversity.
An alcohol-dependent individual says, 'Drinking helps me cope with being a single parent.' Which response by the nurse would help the individual conceptualize the drinking more objectively?
- A. Sooner or later, alcohol will kill you. Then what will happen to your children?'
- B. I hear a lot of defensiveness in your voice. Do you really believe this?'
- C. If you were coping so well, why were you hospitalized again?'
- D. Tell me what happened the last time you drank.'
Correct Answer: D
Rationale: The correct answer is D because it encourages the individual to reflect on their past behavior and consequences of drinking. By asking about the last drinking episode, the nurse helps the individual connect their coping mechanism with actual outcomes. This approach promotes self-awareness and personal responsibility.
Choice A focuses on fear-mongering and may increase resistance. Choice B may come off as confrontational and judgmental, hindering open communication. Choice C is accusatory and may trigger feelings of guilt or shame, rather than fostering insight. Overall, choice D is the most effective as it guides the individual to explore their experiences and understand the link between drinking and its effects.
Crises occur when an individual:
- A. Is exposed to a precipitating stressor
- B. Perceives a stressor to be threatening
- C. Has no support systems
- D. Experiences a stressor and perceives coping strategies to be ineffective
Correct Answer: D
Rationale: The correct answer is D because crises arise when an individual experiences a stressor and perceives their coping strategies to be ineffective. This is supported by the fact that crises involve a sense of overwhelm and inability to manage the situation effectively. Choices A and B focus on the presence and perception of stressors, but without considering the effectiveness of coping strategies. Choice C, lack of support systems, is not the defining factor in determining a crisis; it is the individual's perception of their ability to cope that leads to a crisis. Therefore, D is the most appropriate choice as it directly relates to the individual's ability to handle the stressor effectively.
What is important to note about Divalproex (Depakote)?
- A. Can be toxic to liver
- B. Lethal in overdose
- C. contraindicated in first trimester of pregnancy
- D. Palpitations
Correct Answer: A
Rationale: The correct answer is A because Divalproex (Depakote) can be toxic to the liver. This is important to note as it can lead to liver damage and liver function tests should be monitored regularly. Choice B, lethal in overdose, is incorrect as while overdose can be serious, it is not specifically lethal. Choice C, contraindicated in the first trimester of pregnancy, is also incorrect as Divalproex is actually known to be used for certain seizure disorders during pregnancy. Choice D, palpitations, is unrelated to the medication's primary side effects.