Nokea
Malika agrees to try losing weight according to the nurse practitioner's outlined plan. Additional teaching is warranted when Malika states:
- A. I am willing to admit I am depressed.
- B. Psychotherapy will be a part of my treatment.
- C. I prefer to have a gastric bypass rather than use this plan.
- D. My comorbid conditions may improve with weight loss.
Correct Answer: C
Rationale: Rationale:
C is correct because choosing gastric bypass over the outlined plan indicates a lack of commitment to the agreed weight loss plan. It suggests that Malika may not be fully engaged in following the recommendations provided by the nurse practitioner. This choice also implies a preference for a more invasive and potentially risky procedure over a more conservative approach. Options A, B, and D are incorrect because they do not challenge or contradict the nurse practitioner's plan, indicating a willingness to address depression, engage in psychotherapy, and recognize potential benefits of weight loss on comorbid conditions.
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A nurse is reviewing common themes or social determinants among populations preventing clients' achievement of health care"“related goals. The nurse wants to include interventions into the clients' plan of care to help overcome effects of the identified social determinants. What would the nurse use to base conclusions?
- A. Healthy People 2030
- B. community-based outcomes
- C. culturally competent therapy
- D. national client safety goals
Correct Answer: A
Rationale: The correct answer is A: Healthy People 2030. This is a comprehensive set of national health objectives designed to identify and address the most significant health issues facing the population. The nurse would use Healthy People 2030 to base conclusions because it provides evidence-based goals and strategies to improve health outcomes and address social determinants of health.
Explanation:
1. Healthy People 2030 is a national initiative that focuses on improving the health and well-being of individuals and communities.
2. It includes specific objectives related to social determinants of health, such as poverty, education, and access to healthcare.
3. By using Healthy People 2030, the nurse can identify relevant interventions and strategies to address the identified social determinants and improve clients' health outcomes.
Summary:
B: Community-based outcomes may be relevant for specific interventions but do not provide the comprehensive national perspective needed to address social determinants.
C: Culturally competent therapy is important but focuses on individualized care rather than addressing broader social determin
A nurse is working with a client with co-occurring disorders who is in the early stages of recovery. The client has been abstained from using alcohol for the past 3 weeks. During a follow-up visit, the nurse is working on teaching the client about the effects of alcohol on his body. Which of the following would be most important for the nurse to keep in mind about the client?
- A. The client will be highly suggestible to information
- B. being unable to reason critically.
- C. The alcohol abuse has destroyed the brain cells that are necessary for learning.
- D. Some cognitive impairment may be present that hinders his ability to learn new things.
Correct Answer: D
Rationale: The correct answer is D. In clients with co-occurring disorders in early recovery, cognitive impairment from alcohol use may hinder their ability to learn new things. This is crucial to consider as it directly impacts the client's learning process. Option A is incorrect as suggestibility is not the main concern in this scenario. Option B is incorrect as critical reasoning ability is not the primary focus. Option C is incorrect as brain cells can regenerate, and not all are destroyed by alcohol abuse. Therefore, understanding and addressing potential cognitive impairment is key for effective teaching and support in the client's recovery journey.
A client diagnosed with complex somatic symptom disorder and depression is prescribed medication therapy to treat both the pain and the symptoms of depression. When teaching the client about the medication, which of the following would the nurse emphasize?
- A. Need for signing a no-suicide contract
- B. Avoidance of foods that contain aged cheese
- C. Use of sunscreen when exposed to bright sunlight
- D. Limiting of the amount of water ingested
Correct Answer: B
Rationale: The correct answer is B: Avoidance of foods that contain aged cheese. Aged cheese contains tyramine, which can interact with certain medications used to treat depression, such as MAOIs. This interaction can lead to a dangerous increase in blood pressure known as a hypertensive crisis. Therefore, it is crucial for the client to avoid foods high in tyramine, such as aged cheese, to prevent this potentially life-threatening reaction. Signing a no-suicide contract (choice A) is important but not directly related to medication teaching. Using sunscreen (choice C) and limiting water intake (choice D) are not relevant considerations for this medication regimen.
When alprazolam is prescribed for a patient who experiences acute anxiety, health teaching should include instructions to
- A. report drowsiness.
- B. eat a tyramine-free diet.
- C. avoid alcoholic beverages.
- D. adjust dose and frequency based on anxiety level.
Correct Answer: C
Rationale: The correct answer is C: avoid alcoholic beverages. This is because alprazolam is a central nervous system depressant, and alcohol also has depressant effects. Combining the two can potentiate sedation and respiratory depression. Reporting drowsiness (A) is important but not specific to alprazolam. Eating a tyramine-free diet (B) is relevant for certain medications like MAOIs, not alprazolam. Adjusting dose and frequency based on anxiety level (D) is not recommended as it can lead to misuse or dependence.
What behavior is a client with a diagnosis of antisocial personality disorder demonstrating when they engage in binge drinking?
- A. a defiant personality
- B. emotional regulation
- C. maladaptive behavior
- D. self-determination
Correct Answer: C
Rationale: The correct answer is C: maladaptive behavior. Clients with antisocial personality disorder often engage in maladaptive behaviors, such as binge drinking, to cope with their emotions and impulsivity. Binge drinking is a harmful coping mechanism that can lead to negative consequences, reflecting maladaptive behavior. Choice A (defiant personality) is incorrect as it does not directly relate to the behavior of binge drinking. Emotional regulation (Choice B) is also incorrect as individuals with antisocial personality disorder typically struggle with regulating their emotions, leading to impulsive behaviors like binge drinking. Self-determination (Choice D) is not the most appropriate answer as it does not directly address the maladaptive nature of binge drinking in individuals with antisocial personality disorder.