Nokea
How can physicians promote an inclusive medical environment and prevent presumed heterosexism?
- A. Have patients fill out questionnaires with boxes labeled 'homosexual'
- B. Open the conversation with a personal anecdote
- C. Assume all androgynous-appearing patients are gay or bisexual
- D. Openly discuss sexual history and relationship status with patients
Correct Answer: D
Rationale: Open discussion normalizes diverse orientations without presuming heterosexuality.
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A patient with AIDS is prescribed the nucleoside reverse transcriptase inhibitor lamivudine (Epivir). What information should the nurse ensure that the patient receives about this medication? (Select all that apply.)
- A. Report any onset of bleeding.
- B. Report any yellowing of the skin.
- C. Report any change in urine output.
- D. Report any symptoms similar to having the flu.
Correct Answer: B
Rationale: Step 1: Lamivudine (Epivir) can cause hepatotoxicity, leading to yellowing of the skin (jaundice).
Step 2: Yellowing of the skin is a serious side effect that should be reported immediately to prevent further liver damage.
Step 3: Reporting yellowing of the skin promptly allows for timely evaluation and necessary interventions.
Summary: Reporting bleeding, change in urine output, or flu-like symptoms are not specific to lamivudine and are not directly related to its side effects. Yellowing of the skin is a critical side effect that requires immediate attention.
What are three core emotional and interpersonal dimensions?
- A. Unconditional positive regard, respect and genuineness
- B. Empathy, respect and self-awareness
- C. Empathy, respect and genuineness
- D. Unconditional positive regard, empathy and self-awareness
Correct Answer: C
Rationale: Empathy, respect, and genuineness are widely recognized as key therapeutic dimensions.
For learning and growth to occur, positive feedback needs to be present
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Positive feedback amplifies change, not stability; learning can occur without it.
Name some paradoxical ways in which people resist oppression.
- A. Violence, protests, and legal action
- B. Passive resistance, humor, community strength
- C. Submission, obedience, and silence
- D. Manipulation, deceit, and coercion
Correct Answer: B
Rationale: Passive resistance, humor, and community-building are paradoxical as they appear weak but defy control effectively.
When assessing a patient who has ingested flunitrazepam (Rohypnol), the nurse would expect:
- A. acrophobia
- B. hypothermia
- C. hallucinations
- D. anterograde amnesia
Correct Answer: D
Rationale: The correct answer is D: anterograde amnesia. Flunitrazepam is a benzodiazepine known for causing memory loss, specifically anterograde amnesia, where the person has difficulty forming new memories after ingestion. This is due to the drug's effects on the hippocampus and frontal cortex. Acrophobia (fear of heights), hypothermia, and hallucinations are not typically associated with flunitrazepam ingestion. Therefore, D is the expected outcome when assessing a patient who has ingested flunitrazepam.