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How many categories of test used in guidance:
- A. 5
- B. 4
- C. 6
- D. 3
Correct Answer: A
Rationale: Guidance tests (e.g., aptitude, interest, personality, achievement, intelligence) are typically categorized as 5.
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A grieving patient tells a nurse, Its been eight months since my spouse died. I thought I would feel better by now, but lately I feel worse. I have no energy. I am lonely, but I dont want to be around people. What should I do? What is the nurses best counsel?
- A. Seek psychotherapy.
- B. Become active in a church.
- C. Go to the spouses grave every day.
- D. Understand this is a normal response.
Correct Answer: D
Rationale: The patient needs understanding and support that the feelings are normal. Although feelings of depression generally decline over the period of a year after the death of a loved one, the decline is not linear. Loneliness and aimlessness are most pronounced 6 to 9 months after the death. The patient should be educated about normal phenomena experienced during bereavement. The other options are not clearly indicated.
You are caring for a client who has been taking illicit amphetamines and states that they continue to use this illicit drug because they 'suffer and feel lousy' when they try to stop taking it. Which nursing diagnosis is the most appropriate for this client?
- A. Psychological dependence secondary to amphetamine use
- B. Substance abuse secondary to amphetamine use
- C. Addiction secondary to amphetamine use
- D. Physical dependence secondary to amphetamine use
Correct Answer: D
Rationale: Physical dependence (D) is indicated by withdrawal symptoms.
Which of the following health care system barriers can affect a patient's adherence?
- A. Treatment of asymptomatic disease
- B. Inadequate follow-up or discharge planning
- C. Forgetfulness
- D. Inadequate health insurance
Correct Answer: B
Rationale: Inadequate follow-up or discharge planning disrupts continuity of care, a systemic barrier to adherence.
hich of the following is not a reason that adults often do not seek interventions for hearing loss?
- A. Cost of treatment
- B. One in four
- C. Perception that problem is not severe enough
- D. Availability of treatment
Correct Answer: B
Rationale: ‘One in four' is irrelevant; cost and mild perception are common barriers, not availability.
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.