Name three common tricyclic antidepressants.
- A. Amitriptyline (Elavil)
- B. Imipramine (Tofranil)
- C. Nortriptyline (Pamelor)
- D. Palpitations
Correct Answer: A
Rationale: Step 1: Identify tricyclic antidepressants as a class of medications.
Step 2: Recognize Amitriptyline, Imipramine, and Nortriptyline as commonly prescribed tricyclic antidepressants.
Step 3: Eliminate "Palpitations" as it is not a tricyclic antidepressant.
Step 4: Choose Amitriptyline (Elavil) as the correct answer due to its classification as a tricyclic antidepressant and common use in clinical practice.
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Which of the following is an effective way to address cultural issues about personal contact in a clinical care setting?
- A. Be considerate of the patient's requests not to be touched
- B. Attempt to accommodate the patient's requests whenever possible, while providing medically appropriate care
- C. Identify a chaperone and override the patient's requests in order to expedite their care
- D. Ask that a family member remain at the bedside at all times to oversee patient care
Correct Answer: B
Rationale: Accommodation balances cultural sensitivity with medical necessity.
Self is an ongoing process that combines the 'I' and 'ME'. The 'ME' refers to
- A. None of these
- B. All of these are correct
- C. The image we have of how other people react to us
- D. The spontaneous force that fosters unpredictable behavior
Correct Answer: C
Rationale: The 'ME' (Mead) is the social self, shaped by others' perceptions.
Physicians should examine the ecological/environmental context of patients before which of the following?
- A. Performing a physical examination
- B. Asking the patient to state the purpose of the visit
- C. Meeting the patient for the first time
- D. Discussing a therapeutic plan
Correct Answer: D
Rationale: Context informs effective, tailored therapeutic planning.
Which question asked by the nurse best serves as a screening tool for the assessment of a possible problem with alcohol abuse?
- A. When was the last time you drank alcohol?'
- B. Is there a history of alcohol abuse in your immediate family?'
- C. How old were you when you had your first drink of alcohol?'
- D. In the last year, did you ever drink more alcohol than you intended to?'
Correct Answer: D
Rationale: The correct answer is D because it directly assesses the individual's control over alcohol consumption, a key indicator of potential alcohol abuse. By asking if the person has ever consumed more alcohol than intended in the last year, the nurse can gauge if there are issues with self-regulation and potential abuse. Choices A, B, and C focus on past behaviors or family history, which are important but do not directly address current patterns of alcohol consumption and potential abuse.
A nurse talks with a person whose spouse died suddenly while jogging. Which is the appropriate statement for the nurse?
- A. At least your spouse did not suffer.
- B. It's better to go quickly as your spouse did.
- C. The loss of your spouse must be very painful for you.
- D. You'll begin to feel better after you get over the shock.
Correct Answer: C
Rationale: The most helpful responses by others validate the bereaved persons experience of loss. Avoid banalities; they increase the individuals sense of isolation.