Nokea
ne greatest incidence of extra marital sex for women occurs among those in their
- A. thirties
- B. fifties
- C. forties
- D. twenties
Correct Answer: C
Rationale: Research shows women in their 40s are more likely to engage in extramarital sex, often tied to midlife shifts.
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Mr. and Mrs. Smith and their three children (ages 5, 8, and 10) are in therapy with the nurse psychotherapist. Mrs. Smith tells the nurse that their marriage has been 'falling apart' since the birth of their youngest child, Tom. She explains that they 'did not want a third child, and I became pregnant even after my husband had undergone a vasectomy. We were very angry, the pregnancy was a problematic one, and the child has been difficult since birth. We had problems before he was born, but since Tom was born, things have gone from bad to worse. No one can control him, and he is wrecking our family!' The nurse assesses that which of the following may be occurring in this family?
- A. Scapegoating
- B. Triangling
- C. Disengagement
- D. Enmeshment
Correct Answer: A
Rationale: The correct answer is A: Scapegoating. Scapegoating occurs when one family member is blamed for the family's issues. In this case, Tom, the youngest child, is being blamed for the family's problems since his birth. Mrs. Smith explicitly states that they did not want a third child and that Tom has been difficult since birth. By blaming Tom for the family's issues, the family is using him as a scapegoat to avoid addressing their underlying problems. This behavior can negatively impact Tom's self-esteem and create further dysfunction within the family dynamics.
Incorrect Choices:
B: Triangling involves involving a third person in a conflict to avoid directly addressing the issue. While the family dynamics may involve triangulation, the primary issue here is scapegoating.
C: Disengagement refers to emotional withdrawal and lack of involvement in family dynamics. This does not align with the scenario provided.
D: Enmeshment is when boundaries between family members are blurred, leading to a
Which medication is the nurse most likely to see prescribed as part of the treatment plan for both a patient in an alcoholism treatment program and a patient in a program for the treatment of opioid addiction?
- A. methadone (Dolophine)
- B. bromocriptine (Parlodel)
- C. disulfiram (Antabuse)
- D. naltrexone (Revia)
Correct Answer: D
Rationale: Rationale: Naltrexone (Revia) is the correct answer because it is commonly prescribed for both alcoholism and opioid addiction. It works by blocking the effects of opioids and alcohol in the brain, reducing cravings and helping with relapse prevention. Methadone (A) is primarily used for opioid addiction, while bromocriptine (B) is not commonly used for addiction treatment. Disulfiram (C) is specifically for alcoholism and works by causing unpleasant effects if alcohol is consumed.
Foreign medical graduates (FMGs) constitute what percentage of physicians in the U.S.?
- A. 5%
- B. 15%
- C. 25%
- D. 35%
Correct Answer: C
Rationale: FMGs make up about 25% of U.S. physicians, per current data.
A new patient in an alcoholism rehabilitation program says, 'I’m just a social drinker. I usually have a drink or two at brunch, a few cocktails in the afternoon, wine at dinner, and a few drinks in the evening.' Which response by the nurse will help the patient view the drinking more honestly?
- A. I see,' and use interested silence.
- B. I think you may be drinking more than you report.'
- C. Being a social drinker involves having a drink or two once or twice a week.'
- D. You describe drinking steadily throughout the day and evening. Am I correct?'
Correct Answer: D
Rationale: Step 1: The nurse needs to provide a reflection that highlights the patient's patterns of drinking.
Step 2: Option D reflects the patient's drinking pattern accurately and objectively.
Step 3: By repeating the patient's own words back to them, the nurse helps the patient see the extent of their drinking.
Step 4: This response encourages the patient to reflect on their alcohol consumption more honestly.
Step 5: Option D is correct as it addresses the patient's behavior directly and prompts self-reflection.
Summary:
- Option A is passive and does not challenge the patient's perception.
- Option B is confrontational and may lead to defensiveness.
- Option C provides a generalized definition of social drinking, not addressing the patient's specific behavior.
What treatment does a nurse expect to initiate for a depressed patient who is agitated, vomiting, hyperthermic, hyperreflexive, and tachycardic?
- A. Serotonin syndrome: Anticonvulsants for seizures
- B. Clonazepam for myoclonus
- C. Lorazepam for restlessness and agitation
- D. Palpitations
Correct Answer: A
Rationale: The correct answer is A: Serotonin syndrome: Anticonvulsants for seizures. The patient's symptoms of agitation, vomiting, hyperthermia, hyperreflexia, and tachycardia are indicative of serotonin syndrome. Treatment involves stopping the offending medications, supportive care, and in severe cases, anticonvulsants for seizures. Choice B (Clonazepam) is incorrect as it is used for myoclonus, not the main symptoms presented. Choice C (Lorazepam) is incorrect as it is used for restlessness and agitation but not specifically for serotonin syndrome. Choice D (Palpitations) is incorrect as it is a symptom of serotonin syndrome, not a treatment.