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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Using the structural approach with a family in therapy, the therapist would:
- A. Try to change family principles that may be promoting dysfunctional behavior patterns.
- B. Strive to create change in destructive behavior through improvement in communications and interaction patterns.
- C. Encourage increase in the differentiation of individual family members.
- D. Promote change in dysfunctional behavior by encouraging the formation of more diffuse boundaries between family members.
Correct Answer: B
Rationale: The correct answer is B because the structural approach in family therapy focuses on improving communication and interaction patterns to create positive change in destructive behavior. This involves restructuring the family dynamics and roles to address underlying issues. Choice A is incorrect because changing family principles may not directly address specific behaviors. Choice C is incorrect as increasing differentiation alone may not target destructive behaviors. Choice D is incorrect as promoting diffuse boundaries can lead to further dysfunction rather than positive change.
There are ----------------types of family based on residence:
- A. 5
- B. 2
- C. 4
- D. 3
Correct Answer: D
Rationale: Family types by residence are 3: matrilocal, patrilocal, and neolocal.
The initial step in providing effective mental health-focused public health services is:
- A. Securing adequate funding to support needed psychiatric services.
- B. Identifying key providers to assure the delivery of required services.
- C. Surveying the targeted community to identify needs of the high-risk groups.
- D. Recruiting community leaders to provide support for utilization of provided services.
Correct Answer: C
Rationale: The correct answer is C because surveying the targeted community helps identify specific mental health needs and high-risk groups. This information is crucial for tailoring services effectively. Securing funding (A) is important but comes after understanding community needs. Identifying key providers (B) is necessary but should follow community assessment. Recruiting leaders (D) is helpful but not as essential as understanding community needs. In summary, option C is correct as it lays the foundation for designing appropriate mental health services.
A nurse cared for a terminally ill patient for over a month and always looked forward to spending time with the patient. When the patient died, the nurse experienced sadness and felt mildly depressed. Eventually, the nurse explains these feelings to a mentor. The mentor should counsel the nurse:
- A. about stress-reduction strategies.
- B. to seek therapy for dysfunctional grief.
- C. about the experience of disenfranchised grief.
- D. to consider taking a leave of absence to pursue healing.
Correct Answer: C
Rationale: The nurse is experiencing disenfranchised grief. Nurses often incur loss that is not openly acknowledged or publicly mourned. The loss of a patient may not be recognized or acknowledged by others; therefore the grief is solitary and uncomforted and may be difficult to resolve.
Support refers to tangible items
- A. Companionship
- B. Social
- C. Instrumental
- D. Friendship
Correct Answer: C
Rationale: Instrumental support provides tangible aid (e.g., goods).