Nokea
In phobia fear of heights is referred to as
- A. Agoraphobia
- B. Acrophobia
- C. Abluntophobia
- D. Opiophobia
Correct Answer: B
Rationale: Acrophobia is the specific term for fear of heights, derived from Greek 'acro' (height) and 'phobos' (fear).
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A nurse is performing an assessment for a 59-year-old man with a long history of hypertension. What is the rationale for including questions about prescribed medications and their effects on sexual function in the assessment?
- A. Sexual dysfunction may result from use of prescription medications for management of hypertension.
- B. Such questions are an indirect way of learning about the patient's medication adherence.
- C. These questions ease the transition to questions about sexual practices in general.
- D. Sexual dysfunction can cause stress and contribute to increased blood pressure.
Correct Answer: A
Rationale: 1. **Step 1**: Hypertension is a common condition managed with prescription medications.
2. **Step 2**: Many antihypertensive medications can cause sexual dysfunction as a side effect.
3. **Step 3**: Therefore, asking about prescribed medications and their effects on sexual function is important.
4. **Step 4**: This helps assess if the patient is experiencing any sexual side effects due to his hypertension medications.
5. **Step 5**: Identifying and addressing such side effects can improve patient outcomes and quality of life.
6. **Summary**: Option A is correct as it directly links the potential sexual dysfunction side effects of hypertension medications to the assessment, unlike the other choices which do not address this important aspect of medication management.
What is the primary nursing intervention for a patient with anorexia nervosa who is refusing to eat?
- A. Offer rewards for eating meals.
- B. Provide firm encouragement and offer small, frequent meals.
- C. Enforce strict diet control and limit food choices.
- D. Allow the patient to skip meals if they do not feel hungry.
Correct Answer: B
Rationale: The correct answer is B because providing firm encouragement and offering small, frequent meals is a supportive approach to help the patient with anorexia nervosa overcome their fear of eating. It helps in gradually reintroducing food, building trust, and establishing a healthier eating pattern. Offering rewards (A) may reinforce unhealthy eating behaviors. Enforcing strict diet control (C) can exacerbate control issues and worsen the patient's condition. Allowing the patient to skip meals (D) can perpetuate malnutrition and reinforce avoidance behaviors.
Diet, exercise and establishing a regular sleep cycle are all effective treatments for many mental disorders in teenagers
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Lifestyle interventions like diet, exercise, and sleep hygiene are evidence-based adjuncts for managing many mental disorders.
During an initial patient interview, the psychiatric-mental health nurse begins by asking the patient to describe their:
- A. current situation
- B. feelings about the current situation
- C. personal history
- D. thoughts about the current situation
Correct Answer: A
Rationale: Starting with the current situation provides a concrete entry point to assess the patient's immediate needs and context.
A new nurse asks, 'My elderly patient's CT scan of the head shows many Lewy bodies are present. What should I do about assessing for pain?' Select the best response from the nurse manager.
- A. Ask the patient's family if they think the patient is experiencing pain.
- B. Use a visual analog scale to help the patient determine the presence and severity of pain.
- C. There are special scales for assessing patients with dementia. Let's review how to use them.
- D. The perception of pain is diminished by this type of dementia. Focus your assessment on the patient's mental status.
Correct Answer: C
Rationale: The correct answer is C because patients with Lewy body dementia may have difficulty expressing pain. Special pain assessment scales designed for patients with dementia can help in accurately assessing pain levels. These scales take into account nonverbal cues and behavioral changes that may indicate pain. By using these specialized tools, the nurse can ensure a more comprehensive assessment of the patient's pain experience.
Choice A is incorrect because relying solely on family members' perceptions may not accurately reflect the patient's actual pain experience.
Choice B is not the best option because a visual analog scale may not be suitable for patients with dementia who may have cognitive impairments affecting their ability to use such tools effectively.
Choice D is incorrect as it assumes that pain perception is diminished in Lewy body dementia without considering that patients may still experience pain but have difficulty communicating it. Focusing solely on mental status may overlook important pain indicators.