Nokea
nnitus describe a decrease in
- A. Mental Retardation
- B. Epilepsy
- C. Hearing
- D. Vision
Correct Answer: C
Rationale: Tinnitus is a perception of noise (e.g., ringing) in the ears, linked to hearing issues.
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Which treatment has been identified as a best practice for persons with borderline personality disorder?
- A. Dialectical behavioral therapy (DBT)
- B. Cognitive Behavioral Therapy (CBT)
- C. Mindfulness-Based Cognitive Therapy (MBCT)
- D. Exposure and Response Prevention (ERP)
Correct Answer: A
Rationale: The correct answer is A: Dialectical Behavioral Therapy (DBT). DBT is specifically designed for individuals with borderline personality disorder, focusing on emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness. It has shown to be effective in reducing self-harm behaviors and improving overall functioning. CBT (B) may be helpful for some symptoms but lacks the comprehensive approach of DBT. MBCT (C) is primarily used for depression and may not address the specific needs of individuals with borderline personality disorder. ERP (D) is used for anxiety disorders, not BPD.
The primary impact that the development and use of psychotropic drugs had on nursing's role in the care of clients with mental health disorders was:
- A. The availability of mental health therapies as an outpatient service.
- B. The expansion of the role assumed by professionally trained nurses.
- C. Nurses were needed to fill the gap created by a lack of medical personnel.
- D. More nurses were required to address the needs of the now treatable mental health clients.
Correct Answer: B
Rationale: The correct answer is B because the development and use of psychotropic drugs allowed nurses to take on a more expanded role in caring for clients with mental health disorders. With these medications, nurses could now actively participate in medication administration, monitoring of side effects, educating clients on drug regimens, and collaborating with other healthcare professionals in treatment planning. This increased responsibility and involvement in the treatment process led to a more significant impact on patient outcomes and overall care quality.
Choice A is incorrect because the availability of mental health therapies as an outpatient service is more influenced by various factors such as healthcare policies and funding rather than just the development of psychotropic drugs. Choice C is incorrect as the use of psychotropic drugs did not specifically create a lack of medical personnel that nurses needed to fill. Choice D is incorrect as the increase in the number of nurses was not solely due to the treatability of mental health clients but rather the expanded role that nurses took on in caring for these clients.
A patient prone to manic episodes is reevaluated and diagnosed with acute kidney injury. Which medication would the nurse anticipate holding? A. Xanax B. Carbamazepine (Tegretol) C. Nifedipine D. Lithium
- A. Xanax
- B. Carbamazepine (Tegretol)
- C. Nifedipine
- D. Lithium
Correct Answer: D
Rationale: The correct answer is D, Lithium. In a patient prone to manic episodes with acute kidney injury, Lithium should be held due to its potential to worsen renal function. Xanax (A) is not typically contraindicated in acute kidney injury. Carbamazepine (B) may be used cautiously but does not have the same risk as Lithium. Nifedipine (C) is a calcium channel blocker and does not directly impact kidney function in the same way Lithium does.
The theorist associated with zone of proximal development is
- A. Jean Piaget
- B. Erik Erikson
- C. Lev Vygotsky
- D. John Dewey
Correct Answer: C
Rationale: Vygotsky's zone of proximal development defines learning potential with guidance.
You are the Nurse Manager for the trauma unit. Which of these staff comments or statements do not indicate the need for you to provide an educational activity relating to confidentiality and information security?
- A. “A computer in the hallway was left unattended and a client's medical record was visible to me.â€
- B. “I j ust saw a nursing student looking at the medical record for a client that they are NOT caring for during this clinical experience.â€
- C. “As I was walking past the nursing station, I saw a dietician reading the progress notes written by members of the laboratory department in addition to other dieticians' progress notes.â€
- D. “I refused the nursing supervisor's request to share my electronic password for the new nurse on the unit.â€
Correct Answer: D
Rationale: These scenarios highlight breaches in confidentiality and security.