Nokea
In considering intervention choice points, where should a family practitioner begin?
- A. Couple dyadic-Experiential
- B. Family-Community/Behavioural-Interactional
- C. Individual-Historical
- D. Family-Community/Experiential
Correct Answer: B
Rationale: Starting with family-community and behavioral-interactional approaches allows practitioners to assess systemic interactions and environmental influences first.
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The nurse notes that a patient with AIDS is prescribed trimethoprim-sulfamethoxazole (Bactrim). For which opportunistic infection should the nurse realize that is this medication indicated?
- A. Tuberculosis
- B. Cytomegalovirus retinitis
- C. Mycobacterium avium complex
- D. Pneumocystis jiroveci pneumonia
Correct Answer: D
Rationale: The correct answer is D: Pneumocystis jiroveci pneumonia. Trimethoprim-sulfamethoxazole is indicated for prophylaxis and treatment of Pneumocystis jiroveci pneumonia, a common opportunistic infection in patients with AIDS. This medication combination is effective in preventing this specific infection due to its spectrum of antimicrobial activity against Pneumocystis jiroveci. Choices A, B, and C are incorrect as trimethoprim-sulfamethoxazole is not primarily indicated for tuberculosis, cytomegalovirus retinitis, or Mycobacterium avium complex.
What is the most appropriate response when a patient's behavior or comments during an office visit trigger anger or negative emotions in the physician?
- A. Confront the patient immediately
- B. Recognize these emotions and maintain control
- C. Ignore the comments and send in a resident to see the patient
- D. End the visit and schedule a follow-up with another physician
Correct Answer: B
Rationale: Self-awareness and control preserve professionalism and care quality.
The psychological test measure intellectual functioning is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: C
Rationale: The WAIS is a comprehensive measure of intellectual functioning and IQ.
Is defined as an incompatibility of goals, beliefs, attitudes and behavior
- A. Resolution
- B. Self-esteem
- C. Maladjustment
- D. Adjustment
Correct Answer: C
Rationale: Maladjustment is a conflict between internal states and behavior.
What feelings are most commonly experienced by nurses working with abusive families?
- A. Outrage toward the victim and discouragement regarding the abuser
- B. Helplessness regarding the victim and anger toward the abuser
- C. Unconcern for the victim and dislike for the abuser
- D. Vulnerability for self and empathy with the abuser
Correct Answer: B
Rationale: Intense protective feelings, helplessness, and sympathy for the victim are common emotions of a nurse working with an abusive family. Anger and outrage toward the abuser are common emotions of a nurse working with an abusive family.