In the Mental Health Gap Action Programme Intervention Guide, which of the following aspects is described in detail in the Guide?
- A. What to do.
- B. How to do.
- C. Why it is done.
- D. Pitfalls to avoid.
Correct Answer: A
Rationale: The mhGAP-IG provides detailed guidance on 'what to do' for managing priority conditions in primary care.
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he theorist who believes that human behavior is influenced by environment is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: C
Rationale: B.F. Skinner's behaviorism attributes behavior to environmental stimuli.
What are the two species of structural dysfunction in SFT?
- A. Conflictual and underorganized
- B. Longstanding and recent
- C. Enmity and disagreement
- D. Community and family
Correct Answer: A
Rationale: Conflictual (overly rigid) and underorganized (too diffuse) are SFT's dysfunction types.
A nurse worked at a hospital for several months, resigned, and then took a position at another hospital. In the new position, the nurse often volunteers to be the medication nurse. After several serious medication errors, an investigation reveals that the nurse was diverting patient narcotics for self-use. What early indicator of the nurse’s drug use was evident?
- A. Accepting responsibility for medication errors.
- B. Seeking to be assigned as the medication nurse.
- C. Frequent complaints of physical pain.
- D. High sociability with peers.
Correct Answer: B
Rationale: The correct answer is B: Seeking to be assigned as the medication nurse. This behavior is an early indicator of drug use because it provides the nurse with easier access to narcotics, which they may be seeking for self-use. By actively seeking out this responsibility, the nurse may have ulterior motives related to drug diversion.
Choice A is incorrect because accepting responsibility for medication errors is a common behavior among healthcare professionals and does not necessarily indicate drug use. Choice C, frequent complaints of physical pain, is also incorrect as it could be related to various health issues and not specifically drug use. Choice D, high sociability with peers, is not a direct indicator of drug use and does not provide any evidence of potential drug diversion.
The goal of crisis intervention has been met when a mother who lost her job:
- A. Is able to begin a search for a new job.
- B. Is no longer angry with her employer.
- C. Describes her new job as being better than the old one.
- D. Accepts a new job that requires a move to another state.
Correct Answer: C
Rationale: The correct answer is C because the goal of crisis intervention is to help the individual cope with the crisis and move towards a positive resolution. In this case, the mother describing her new job as better than the old one indicates that she has successfully transitioned from the crisis of losing her job to a positive outcome. Choice A is incorrect because just beginning a job search does not guarantee a successful resolution. Choice B is incorrect as resolving anger towards the employer is not the primary goal of crisis intervention. Choice D is incorrect because accepting a job that requires moving may not necessarily mean it is a better job than the previous one.
A patient with AIDS is prescribed the nucleoside reverse transcriptase inhibitor lamivudine (Epivir). What information should the nurse ensure that the patient receives about this medication? (Select all that apply.)
- A. Report any onset of bleeding.
- B. Report any yellowing of the skin.
- C. Report any change in urine output.
- D. Report any symptoms similar to having the flu.
Correct Answer: B
Rationale: Step 1: Lamivudine (Epivir) can cause hepatotoxicity, leading to yellowing of the skin (jaundice).
Step 2: Yellowing of the skin is a serious side effect that should be reported immediately to prevent further liver damage.
Step 3: Reporting yellowing of the skin promptly allows for timely evaluation and necessary interventions.
Summary: Reporting bleeding, change in urine output, or flu-like symptoms are not specific to lamivudine and are not directly related to its side effects. Yellowing of the skin is a critical side effect that requires immediate attention.
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