Nokea
Loss does not have to cause social isolation and emotional distress
- A. Language
- B. Hearing
- C. Vision
- D. All of these
Correct Answer: B
Rationale: Hearing loss can be managed without inherent isolation, unlike some cases of vision or language loss.
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Which serious side effect of Elavil requires immediate intervention? A. Orthostatic hypotension B. Urinary retention C. ECG changes D. Sedation
- A. Orthostatic hypotension
- B. Urinary retention
- C. ECG changes
- D. Sedation
Correct Answer: B
Rationale: The correct answer is B: Urinary retention. Elavil, a tricyclic antidepressant, can cause anticholinergic effects leading to urinary retention, which can be a serious side effect requiring immediate intervention to prevent complications like urinary retention, necessitating prompt medical attention to prevent potential complications such as bladder distention or urinary retention-induced kidney damage.
A: Orthostatic hypotension - While Elavil can cause orthostatic hypotension, it is not typically considered a serious side effect that requires immediate intervention.
C: ECG changes - Elavil can cause ECG changes, but they may not always necessitate immediate intervention.
D: Sedation - Sedation is a common side effect of Elavil but is not typically considered a serious side effect requiring immediate intervention.
A patient who has AIDS expresses concern about telling others about the illness. Which response would be appropriate by the nurse?
- A. It would be best to tell everyone you know.'
- B. You should tell those who have a reason to know.'
- C. Your diagnosis will be discovered anyway by those you know.'
- D. Secrecy is a poor idea because it will erode your self-esteem.'
Correct Answer: B
Rationale: The correct answer is B: "You should tell those who have a reason to know." This response is appropriate as it respects the patient's autonomy and privacy. By sharing the diagnosis with only those who need to know, the patient can control who has access to this sensitive information. This approach also promotes trust and open communication within the patient's support network.
Option A is incorrect as it disregards the patient's right to privacy and may cause unnecessary stress. Option C is incorrect as it assumes the diagnosis will inevitably become public, which may not be the case if the patient chooses to keep it private. Option D is incorrect as it oversimplifies the situation and may not consider the patient's unique circumstances and preferences.
You are a home health nurse caring for an elderly client in their home. They have children and grandchildren but they live far from the couple and they typically visit with your clients once to two times a year. The elderly man is beginning to show some of the signs of Alzheimer's disease dementia. The wife is also 88 years of age and has had a stroke which has left her with left sided weakness, but she is willing to help her husband and to maintain his safety. What kind of support should you give the wife in terms of her role caring for her husband?
- A. You should advise the couple to move closer to their children so that they can care for their father.
- B. You should teach the wife about this progressive disease and the need to promote as much independence as possible.
- C. You should teach the wife about this progressive disease and the need to do all that she can for the husband to avoid his depression and frustration.
- D. You should advise the couple to decrease their social activities in order to preserve the husband's dignity and self-esteem.
Correct Answer: B
Rationale: Education on progression and independence (B) supports the wife's caregiving role.
In what significant ways is the therapeutic environment different for a patient who has ingested D-lysergic acid diethylamide (LSD) than for a patient who has ingested phencyclidine (PCP)?
- A. For LSD ingestion, one person stays with the patient and provides verbal support. For PCP ingestion, a regimen of limited contact with staff members is maintained, and continual visual monitoring is provided.
- B. For PCP ingestion, the patient is placed on one-on-one intensive supervision. For LSD ingestion, a regimen of limited interaction and minimal verbal stimulation is maintained.
- C. For LSD ingestion, continual moderate sensory stimulation is provided. For PCP ingestion, continual high-level stimulation is provided.
- D. For LSD ingestion, the patient is placed in restraints. For PCP ingestion, seizure precautions are implemented.
Correct Answer: A
Rationale: The correct answer is A because for a patient who has ingested LSD, it is important to have someone stay with them and provide verbal support due to the potential for anxiety and panic attacks. This helps in grounding the patient and providing reassurance. On the other hand, for a patient who has ingested PCP, a regimen of limited contact with staff members is maintained to prevent potential aggression or unpredictable behavior. Continual visual monitoring is provided to ensure safety without directly engaging with the patient.
Choice B is incorrect because placing a patient on one-on-one intensive supervision for PCP ingestion may escalate the situation due to potential paranoia or aggression. Choice C is incorrect because LSD ingestion may lead to sensory overload, so providing moderate sensory stimulation is more appropriate. Choice D is incorrect because restraints for LSD ingestion are not necessary and seizure precautions are not typically needed for PCP ingestion.
he theorist who believes that human behavior is influenced by past is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: A
Rationale: Sigmund Freud's psychoanalysis links behavior to past experiences, especially childhood.