Nokea
Joy is occupied exclusively with thoughts of her fathers death. Although Joy is preoccupied with his death, she is still planning to purchase a gift for his birthday, which would have been in two more weeks. Dr. Leone advises the nurse to assist Joy through this stage of grief, which is known as:
- A. Denial.
- B. Anger.
- C. Bargaining.
- D. Acceptance.
Correct Answer: A
Rationale: To protect themselves from the pain of the death, people use denial to unconsciously avoid facing reality and pain from the loss. Denial can seem irrational and can be intermittent.
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When assessing a patient who has ingested flunitrazepam (Rohypnol), the nurse would expect:
- A. acrophobia
- B. hypothermia
- C. hallucinations
- D. anterograde amnesia
Correct Answer: D
Rationale: The correct answer is D: anterograde amnesia. Flunitrazepam is a benzodiazepine known for causing memory loss, specifically anterograde amnesia, where the person has difficulty forming new memories after ingestion. This is due to the drug's effects on the hippocampus and frontal cortex. Acrophobia (fear of heights), hypothermia, and hallucinations are not typically associated with flunitrazepam ingestion. Therefore, D is the expected outcome when assessing a patient who has ingested flunitrazepam.
The psychological test measure personality dynamics is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: D
Rationale: The TAT explores personality dynamics through narrative responses.
The primary advantage of a heterogeneous therapeutic group is that:
- A. There will be a variety of backgrounds represented in the group.
- B. Individuals will be expected to function outside their comfort zone.
- C. An opportunity to examine experiences from varied points of view will exist.
- D. Members will see that they are not alone and that others have problems as well.
Correct Answer: C
Rationale: The correct answer is C because a heterogeneous therapeutic group allows members to examine their experiences from varied points of view. This can lead to greater insight, empathy, and understanding among group members. By hearing different perspectives, individuals can gain new insights into their own struggles and learn from others' experiences. This process can enhance personal growth, promote tolerance, and foster a sense of community within the group.
Choices A, B, and D are incorrect because while they may be potential advantages of a therapeutic group, they do not specifically address the primary advantage of a heterogeneous group, which is the opportunity to examine experiences from varied points of view. Choice A focuses on diversity in backgrounds, choice B on stepping outside comfort zones, and choice D on creating a sense of solidarity among group members. However, these advantages are not as directly related to the main benefit of a heterogeneous group as choice C.
Police bring a patient to the emergency department after an automobile accident. The patient is ataxic with slurred speech and mild confusion. The blood alcohol level is 400 mg/dl (0.4 mg %). Considering the relationship between behavior and blood alcohol level, which conclusion can the nurse draw? The patient:
- A. rarely drinks alcohol.
- B. has a high tolerance to alcohol.
- C. has been treated with disulfiram (Antabuse).
- D. has recently ingested both alcohol and sedative drugs.
Correct Answer: B
Rationale: The correct answer is B: the patient has a high tolerance to alcohol. At a blood alcohol level of 400 mg/dl, most individuals would exhibit severe symptoms such as unconsciousness or coma. However, this patient only shows mild symptoms of ataxia, slurred speech, and confusion, indicating a high tolerance to alcohol. This high tolerance suggests that the patient regularly consumes large amounts of alcohol, leading to an adaptation in the body's response to alcohol.
Choice A is incorrect because a blood alcohol level of 400 mg/dl is indicative of significant alcohol consumption, contradicting the statement that the patient rarely drinks alcohol. Choice C is incorrect as disulfiram is used to treat alcohol dependence, not tolerance. Choice D is incorrect since sedative drugs would exacerbate the effects of alcohol, causing more severe symptoms than what is observed in this case.
Which of the following roles does a case manager not perform?
- A. Counselor - a client focussed enabler and educator
- B. Advisor - providing the client with advice from previous experience
- C. Coordinator - Matching a client with services, brokering
- D. Advocacy - Focus on mediating and organizing a client's service system
Correct Answer: B
Rationale: Advising from personal experience is less typical; case managers focus on systemic roles.