Nokea
In the problems of sexuality and sexual functioning, the term gender identity refers to
- A. Sexual urges or fantasies
- B. Dissatisfaction with biological sex
- C. Problems with sexual fantasies
- D. Problems with sexual response cycle
Correct Answer: B
Rationale: Gender identity is one's internal gender sense, which may conflict with biological sex.
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Which evaluation data supports that the client diagnosed with schizophrenia has benefited from his family's involvement in psychoeducational programming?
- A. The client is living with his parents.
- B. The client has not relapsed in three years.
- C. The family is supplementing the client's disability income.
- D. The family provides the client with transportation to his part-time job.
Correct Answer: B
Rationale: The correct answer is B because the client not relapsing in three years indicates a positive outcome from the family's involvement in psychoeducational programming. This suggests that the family's support has contributed to the client's stability and well-being.
Choice A is incorrect as living with parents alone does not demonstrate the effectiveness of psychoeducational programming. Choice C is incorrect as supplementing disability income does not directly show the client's improvement. Choice D is also incorrect as providing transportation to a job does not specifically relate to the client's schizophrenia treatment outcome.
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.
Tinnitus describes a decrease in
- A. Mental Retardation
- B. Epilepsy
- C. Hearing
- D. Vision
Correct Answer: C
Rationale: Tinnitus is a hearing issue involving perceived noise (e.g., ringing).
An adult in the emergency department states, 'I feel restless. Everything I look at wavers. Sometimes I’m outside my body looking at myself. I hear colors. I think I’m losing my mind.' Vital signs are slightly elevated. The nurse should suspect a(n):
- A. schizophrenic episode
- B. cocaine overdose
- C. phencyclidine (PCP) intoxication
- D. D-lysergic acid diethylamide (LSD) ingestion
Correct Answer: D
Rationale: The correct answer is D, D-lysergic acid diethylamide (LSD) ingestion. LSD causes visual disturbances, dissociation, heightened sensory perceptions, and altered sense of reality, matching the client's symptoms. Vital signs being slightly elevated are consistent with LSD use. Schizophrenic episodes (A) involve long-term symptoms, not acute onset. Cocaine overdose (B) would present with more severe vital sign changes. PCP intoxication (C) typically causes aggression and hallucinations, not the described symptoms.
The theorist associated with personality development is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: D
Rationale: Erik Erikson's psychosocial stages focus on personality development through social crises.