Nokea
McMillan placed high value on the education of
- A. Imagination
- B. Modeling
- C. Creativity
- D. Play
Correct Answer: D
Rationale: Margaret McMillan saw play as essential for child development.
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When providing instructions to a patient who has just been prescribed Isocarboxazid (Marplan), it is important for the nurse to include:
- A. Interactions with other medications
- B. Requires tyramine-free diet: avoid food and drugs that increase norepinephrine levels to prevent hypertensive crisis
- C. Palpitations
- D. Course hand tremor
Correct Answer: A
Rationale: The correct answer is A because Isocarboxazid is an MAOI, which can have dangerous interactions with other medications resulting in serious side effects. It is crucial for the nurse to educate the patient about potential drug interactions to prevent harm. Choice B is incorrect as Isocarboxazid does not require a tyramine-free diet like other MAOIs such as phenelzine. Choices C and D are unrelated side effects of Isocarboxazid and not the key information that needs to be communicated to the patient.
What is the role of the physician when the patient lacks decisionmaking capacity and someone other than a family member has been designated as the surrogate decision maker?
- A. Follow the instructions of the family and ignore the surrogate
- B. Ignore the family and talk only to the surrogate
- C. Serve as a mediator between parties and encourage all groups to work together in the best interest of the patient, consistent with the patient's wishes
- D. Consult legal affairs to determine who should be the decisionmaker
Correct Answer: C
Rationale: Mediation ensures collaboration and honors the patient's designated surrogate.
Which source of self-efficacy is through the vicarious experiences provided by social models:
- A. Third
- B. One
- C. Second
- D. Fourth
Correct Answer: C
Rationale: Vicarious experiences (modeling) are the second source of self-efficacy, per Bandura.
Describe the focus and issues typical of Level 3 families.
- A. Basic survival and safety concerns
- B. Relational conflicts like marital issues
- C. Identity, intimacy, and self-esteem
- D. Philosophical and existential questions
Correct Answer: C
Rationale: Level 3 families focus on personal growth and individuation, with issues like identity and intimacy, requiring introspective interventions rather than survival or relational fixes.
While collecting admission data, the nurse suspects a patient with AIDS is experiencing an HIV-associated neurocognitive disorder. What observations did the nurse make to come to this conclusion? (Select all that apply.)
- A. Audible bowel sounds
- B. Inappropriate laughter
- C. Inability to state home address
- D. Knee buckling while walking
Correct Answer: B
Rationale: The correct answer is B: Inappropriate laughter. Inappropriate laughter is a common symptom of HIV-associated neurocognitive disorder, indicating cognitive impairment. This symptom is often observed in patients with AIDS and can be indicative of changes in behavior and emotional responses.
Audible bowel sounds (A) are not specifically related to HIV-associated neurocognitive disorder. Inability to state home address (C) may indicate memory impairment but is not a specific symptom of this disorder. Knee buckling while walking (D) is more related to physical weakness or balance issues rather than cognitive impairment associated with HIV.