Nokea
How many mLs will you administer to the client after you use 3.3 mL of normal saline to reconstitute a medication that will yield 12 mg per mL and the doctor's order is as follows. Doctor's order: 25 mg of medication BID
- A. 1.9 mL
- B. 2.0 mL
- C. 2.5 mL
- D. 2.1 mL
Correct Answer: D
Rationale: 25 mg / 12 mg/mL = 2.083 mL, rounded to 2.1 mL (D) per dose.
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A young adult tells the nurse at the local free clinic that he is currently living in his car and panhandling for money. The nurse asks the individual the reason for his decision to live as he does. Which response will the nurse follow up on to determine if the individual is experiencing mental health issues?
- A. I'll live in a house and get a job when the government gives everyone those opportunities.'
- B. I live like this for 3 months each year just to remind myself how much I really have.'
- C. This way they can't find me and if they can't find me they can't hurt me.'
- D. The law says I can live any way I want to as long as I'm not hurting anyone.'
Correct Answer: C
Rationale: The correct answer is C because the response indicates a potential underlying fear of being harmed, which could suggest paranoia or anxiety related to mental health issues. This response shows a sense of vulnerability and a need for safety by avoiding potential harm. Choices A and D do not directly address any mental health concerns but rather focus on external factors and legalities. Choice B suggests a purposeful and temporary choice that does not indicate mental health issues. Therefore, the nurse should follow up on choice C to further assess the individual's mental well-being.
When a person first begins drinking alcohol, two drinks produce relaxation and drowsiness. After 1 year, four drinks are needed to achieve the same relaxed, drowsy state. Why does this change occur?
- A. The alcohol is less potent.
- B. Tolerance develops.
- C. Antagonistic effects occur.
- D. Hypomagnesemia develops.
Correct Answer: B
Rationale: The correct answer is B: Tolerance develops. Tolerance occurs when the body adapts to repeated exposure to alcohol, requiring higher doses to achieve the same effect. Initially, two drinks were sufficient, but over time, the body adjusts, leading to the need for four drinks to achieve the same level of relaxation and drowsiness. This change is not due to the alcohol being less potent (A), antagonistic effects (C), or hypomagnesemia (D). Tolerance is a well-documented phenomenon in the context of alcohol consumption, explaining the increased amount needed to achieve the desired effect.
A patient admitted to an alcoholism rehabilitation program says, 'I’m just a social drinker. I usually have a drink or two at brunch, a few cocktails in the afternoon, wine at dinner, and several drinks during the evening.' Which defense mechanism is evident?
- A. Rationalization
- B. Introjection
- C. Projection
- D. Denial
Correct Answer: D
Rationale: The correct answer is D: Denial. The patient's statement reflects denial as they are minimizing their alcohol consumption by categorizing it as normal social drinking. Denial is a defense mechanism where a person refuses to acknowledge a reality or truth to protect themselves from anxiety or discomfort. In this scenario, the patient is not accepting the reality of their excessive drinking habits.
Explanation for other choices:
A: Rationalization - This defense mechanism involves justifying behavior with logical reasoning. The patient is not providing logical reasoning for their drinking habits.
B: Introjection - This defense mechanism involves internalizing external beliefs or values. The patient's statement does not indicate internalizing external beliefs.
C: Projection - This defense mechanism involves attributing one's unacceptable thoughts or emotions to others. The patient is not projecting their drinking habits onto others.
In the 1-year Graduate Diploma in Mental Health, the course is divided into X modules. What is X?
- A. 6
- B. 8
- C. 9
- D. 10
Correct Answer: B
Rationale: The Graduate Diploma in Mental Health typically comprises 8 modules, covering key mental health topics.
A patient admitted yesterday for injuries sustained in a fall while intoxicated believes bugs are crawling on the bed. The patient is anxious, agitated, and diaphoretic. What is the priority nursing diagnosis?
- A. Ineffective airway clearance
- B. Ineffective coping
- C. Ineffective denial
- D. Risk for injury
Correct Answer: D
Rationale: The correct answer is D: Risk for injury. This is the priority nursing diagnosis because the patient's current state of agitation and anxiety, coupled with the belief of bugs crawling on the bed, poses an immediate risk for self-injury. The patient's altered mental status and intoxication increase the likelihood of accidental harm.
Explanation for other choices:
A: Ineffective airway clearance - While this is always a critical concern, the patient's current presentation does not indicate any immediate threat to the airway.
B: Ineffective coping - While the patient may be experiencing distress, the primary focus should be on addressing the risk of injury given the patient's altered mental status.
C: Ineffective denial - While the patient may be experiencing hallucinations, the primary concern is the risk of injury rather than the patient's denial of the situation.