Nokea
omen are over represented in family responsibilities.
- A. Public sector
- B. Contingent
- C. Semi skilled
- D. Private sector
Correct Answer: B
Rationale: Contingent work (flexible, often part-time) allows women to balance family duties, where they're overrepresented.
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The adult children of an elderly client are interested in the use of complementary and alternative medicine (CAM) therapies to help manage their mother's poststroke depression. The nurse responds:
- A. There has been no research done to investigate the effectiveness of CAM on depression like your mother's.'
- B. At your mother's age CAM therapies are not indicated since they may affect her impaired renal function.'
- C. There has been some research to support the use of acupuncture in managing depression that occurs after strokes.'
- D. I'd suggest you discuss this with your mother's physician before you mention the idea to her since the research on the subject is inconclusive.'
Correct Answer: C
Rationale: Rationale for Correct Answer C: The nurse's response is correct because there has been some research supporting the use of acupuncture in managing depression post-stroke. Acupuncture is a form of CAM therapy that has shown promising results in improving mental health outcomes for stroke patients. By suggesting acupuncture, the nurse is offering a potential evidence-based solution for the client's post-stroke depression. This response aligns with the client's interests in exploring CAM therapies and provides a feasible option for consideration.
Incorrect Answers:
A: This answer is incorrect because it states there has been no research on the effectiveness of CAM for depression after strokes, which is misleading as there is research supporting the use of acupuncture.
B: This answer is incorrect because it assumes that age-related factors like impaired renal function would automatically preclude the use of CAM therapies, which is not always the case.
D: This answer is incorrect because it suggests consulting the physician due to inconclusive research, which may hinder the exploration of potentially beneficial CAM therapies like acupuncture
The nurse notes that a patient with AIDS is prescribed trimethoprim-sulfamethoxazole (Bactrim). For which opportunistic infection should the nurse realize that is this medication indicated?
- A. Tuberculosis
- B. Cytomegalovirus retinitis
- C. Mycobacterium avium complex
- D. Pneumocystis jiroveci pneumonia
Correct Answer: D
Rationale: The correct answer is D: Pneumocystis jiroveci pneumonia. Trimethoprim-sulfamethoxazole is indicated for prophylaxis and treatment of Pneumocystis jiroveci pneumonia, a common opportunistic infection in patients with AIDS. This medication combination is effective in preventing this specific infection due to its spectrum of antimicrobial activity against Pneumocystis jiroveci. Choices A, B, and C are incorrect as trimethoprim-sulfamethoxazole is not primarily indicated for tuberculosis, cytomegalovirus retinitis, or Mycobacterium avium complex.
Which statement made by a client demonstrates a prominent behavior related to noncompliance with prescribed treatment?
- A. I broke my hip last fall and it's still hard to get around.'
- B. I have type 2 diabetes but I can still eat the way I always have.'
- C. Weight has been a problem I've struggled with my entire adult life.'
- D. My wife says I need to exercise if I'm ever going to get my blood pressure down.'
Correct Answer: B
Rationale: The correct answer is B because the client's statement indicates a lack of adherence to prescribed treatment for type 2 diabetes, which typically includes dietary modifications. The client's belief that they can continue eating the same way shows a resistance to making necessary lifestyle changes. Choices A, C, and D do not directly relate to noncompliance with prescribed treatment but rather reflect challenges or concerns related to health issues.
Which disorder caused Minuchin and others to understand SFT wasn't just for L1 families?
- A. Self-harm
- B. Anorexia
- C. Substance abuse
- D. Conduct disorder
Correct Answer: B
Rationale: Anorexia cases showed SFT's utility beyond Level 1, addressing complex family dynamics.
An adult in the emergency department states, 'I feel restless. Everything I look at wavers. Sometimes I’m outside my body looking at myself. I hear colors. I think I’m losing my mind.' Vital signs are slightly elevated. The nurse should suspect a(n):
- A. schizophrenic episode
- B. cocaine overdose
- C. phencyclidine (PCP) intoxication
- D. D-lysergic acid diethylamide (LSD) ingestion
Correct Answer: D
Rationale: The correct answer is D, D-lysergic acid diethylamide (LSD) ingestion. LSD causes visual disturbances, dissociation, heightened sensory perceptions, and altered sense of reality, matching the client's symptoms. Vital signs being slightly elevated are consistent with LSD use. Schizophrenic episodes (A) involve long-term symptoms, not acute onset. Cocaine overdose (B) would present with more severe vital sign changes. PCP intoxication (C) typically causes aggression and hallucinations, not the described symptoms.