Nokea
How should physicians initiate conversations with patients who use complementary or alternative therapies?
- A. In a frank but open manner
- B. In a nonjudgmental manner
- C. In a suspicious manner
- D. In a curious manner
Correct Answer: B
Rationale: Nonjudgmental dialogue encourages openness and integrates CAM into care plans.
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A patient admitted yesterday for injuries sustained while intoxicated believes the window blinds are snakes trying to get into the room. The patient is anxious, agitated, and diaphoretic. Which medication can the nurse anticipate the health care provider will prescribe?
- A. Monoamine oxidase inhibitor, such as phenelzine (Nardil)
- B. Phenothiazine, such as thioridazine (Mellaril)
- C. Benzodiazepine, such as lorazepam (Ativan)
- D. Narcotic analgesic, such as morphine
Correct Answer: C
Rationale: The correct medication to anticipate for this patient is a benzodiazepine, such as lorazepam (Ativan).
Rationale:
1. Benzodiazepines are commonly used to treat acute agitation and anxiety in patients, which is present in this case.
2. Lorazepam has a rapid onset of action and can help calm the patient quickly.
3. It can help manage the patient's perception of the window blinds as snakes and reduce agitation.
4. Benzodiazepines are safer for patients with alcohol intoxication compared to other sedatives or antipsychotics.
Summary of Incorrect Choices:
A: Monoamine oxidase inhibitors are not typically used for acute agitation and anxiety. They have a slower onset of action and are not first-line for this situation.
B: Phenothiazines may worsen the patient's condition due to their potential side effects like sedation and hypotension.
D: Narcotic analgesics are not appropriate for managing anxiety or agitation
Which of the following is a common ethical challenge for family practitioners?
- A. Choosing to focus on the welfare of the individual or the family
- B. Avoiding upsetting the family system through disclosure of therapist faith
- C. Choosing which theoretical orientation to apply to an individual family
- D. N/A
Correct Answer: A
Rationale: Balancing individual vs. family welfare is a frequent ethical dilemma in systemic therapy.
Two other types of sensory memory have been extensively studied: echoic memory and memory:
- A. Episodic
- B. Haptic
- C. Visual
- D. Audio
Correct Answer: B
Rationale: Echoic (auditory) and haptic (touch) sensory memories are studied alongside iconic (visual) memory.
Describe the focus and issues typical of Level 3 families.
- A. Basic survival and safety concerns
- B. Relational conflicts like marital issues
- C. Identity, intimacy, and self-esteem
- D. Philosophical and existential questions
Correct Answer: C
Rationale: Level 3 families focus on personal growth and individuation, with issues like identity and intimacy, requiring introspective interventions rather than survival or relational fixes.
Two divorced people plan to marry. The man has a teenager, and the woman has a toddler. This family will benefit most from:
- A. role-playing opportunities for conflict resolution regarding discipline.
- B. guidance about parenting children at two developmental levels.
- C. formal teaching about problem-solving skills.
- D. referral to a family therapist.
Correct Answer: B
Rationale: The newly formed family will be coping with tasks associated with the stage of rearing preschool children and teenagers. These stages require different knowledge and skills. There is no evidence of a problem, so the distracters are not indicated.