Nokea
Miss Lee is an Asian American on the psychiatric unit. She says to the nurse, 'I must have the hot ginger root for my headache. It is the only thing that will help.' What meaning does the nurse attach to this statement?
- A. She is being obstinate and wants control over her care.
- B. She believes ginger root has magical qualities.
- C. She subscribes to the restoration of health through the balance of yin and yang.
- D. Asian Americans refuse to take traditional medicine for pain.
Correct Answer: C
Rationale: Miss Lee's emphasis on ginger root for her headache reflects a belief in traditional Asian medicine, specifically the balance of yin and yang for health restoration, which aligns with option c.
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The nurse is engaging in patient- and family-centered care most effectively when:
- A. Including a client's homosexual partner in the discussion regarding discharge planning.
- B. Allowing a client admitted for acute psychiatric care to be visited by family members.
- C. Helping a cognitively impaired client call his parents who live out of state.
- D. Volunteering at a clinic that provides free services to clients of all ages.
Correct Answer: A
Rationale: The correct answer is A because including a client's homosexual partner in discharge planning demonstrates respect for the client's relationships and values, promoting inclusivity and support. This aligns with patient- and family-centered care principles. Choice B is incorrect as it focuses on visitation rights rather than involving the family in care decisions. Choice C involves the nurse facilitating communication but does not necessarily demonstrate partnership with the client's support system. Choice D, while commendable, does not directly relate to individualized care for a specific patient and their family.
One common way of exploring in early childhood is by
- A. Avoiding
- B. Asking
- C. Listening
- D. Reading
Correct Answer: B
Rationale: Asking questions is a primary exploratory method in young children.
Your pediatric client weighs 48 pounds. How many mg of a medication would you administer to this client with each dose when the doctor has ordered 5 mg/kg/day in two equally divided doses?
- A. 45 mg
- B. 60 mg
- C. 52 mg
- D. 55 mg
Correct Answer: C
Rationale: 48 lbs = 21.8 kg; 5 mg/kg x 21.8 kg = 109 mg/day; 109 / 2 = 54.5 mg, closest to 52 mg (C).
What non-addictive, non-benzodiazepine is commonly implemented for patients who suffer from generalized anxiety disorder (GAD)?
- A. Buspirone (BuSpar)
- B. ECG changes
- C. Valium
- D. Divalproex (Depakote)
Correct Answer: A
Rationale: The correct answer is A: Buspirone (BuSpar). Buspirone is commonly used for patients with GAD due to its non-addictive nature and lack of sedative effects like benzodiazepines. It works by affecting serotonin receptors in the brain, reducing anxiety symptoms. ECG changes (choice B) are not a treatment for GAD. Valium (choice C) is a benzodiazepine, which can be addictive and is not recommended for long-term use in GAD. Divalproex (Depakote) (choice D) is typically used for mood disorders like bipolar disorder and not as a first-line treatment for GAD.
The humanistic theorist developed the hierarchy of needs.
- A. Abraham Maslow
- B. Sigmund Freud
- C. Erik Erikson
- D. Jean Piaget
Correct Answer: A
Rationale: Abraham Maslow introduced the hierarchy of needs as part of his humanist theory. This theory consisted of five levels of need. Maslow's hierarchy of needs begins at a lower level and proceeds to a higher level.