Nokea
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.
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A patient was admitted last night with a hip fracture sustained in a fall while intoxicated. The patient points to the Buck traction and screams, 'Somebody tied me up with ropes.' The patient is experiencing:
- A. illusion
- B. delusion
- C. hallucinations
- D. hypnagogic phenomenon
Correct Answer: A
Rationale: The correct answer is A: illusion. An illusion is a misinterpretation of a real external stimulus. In this case, the patient is misperceiving the traction as ropes due to the altered mental state from intoxication. It is a sensory distortion based on a real object. Delusion (B) is a fixed false belief, not related to sensory perceptions. Hallucinations (C) are false sensory perceptions without external stimulus. Hypnagogic phenomenon (D) refers to sensory experiences during the transition from wakefulness to sleep, not applicable here.
Select the nursing intervention necessary after administering naloxone (Narcan) to a patient with an opiate overdose.
- A. Monitor the airway and vital signs every 15 minutes.
- B. Insert a nasogastric tube and test gastric pH.
- C. Treat hyperpyrexia with cooling measures.
- D. Insert an indwelling urinary catheter.
Correct Answer: A
Rationale: The correct answer is A: Monitor the airway and vital signs every 15 minutes. After administering naloxone to a patient with an opiate overdose, it is crucial to monitor the patient's airway and vital signs regularly to assess for respiratory depression, potential re-sedation, and other adverse effects of naloxone. This intervention ensures the patient's safety and allows for prompt detection and management of any complications.
Choice B is incorrect because inserting a nasogastric tube and testing gastric pH is not indicated after naloxone administration for opiate overdose. Choice C is incorrect as treating hyperpyrexia with cooling measures is not a priority intervention in this scenario. Choice D is also incorrect as inserting an indwelling urinary catheter is not necessary after administering naloxone for opiate overdose.
contribute(s) to homeostasis by selfregulation and helps to maintain the stability of relationships.
- A. Open systems
- B. Closed systems
- C. Negative feedback
- D. Positive feedback
Correct Answer: C
Rationale: Negative feedback stabilizes systems by counteracting deviations.
Which class of medications increases the availability of serotonin by blocking the reuptake of serotonin at the presynaptic membrane?
- A. Selective serotonin reuptake inhibitors (SSRIs)
- B. Polyuria
- C. Carbamazepine (Tegretol)
- D. Lithium
Correct Answer: A
Rationale: The correct answer is A: Selective serotonin reuptake inhibitors (SSRIs). SSRIs block the reuptake of serotonin at the presynaptic membrane, leading to increased availability of serotonin in the synaptic cleft. This helps alleviate symptoms of depression and anxiety. Choice B, Polyuria, is a symptom related to excessive urination and is not a class of medication. Choice C, Carbamazepine, is an anticonvulsant and mood stabilizer that works by different mechanisms, not by increasing serotonin availability. Choice D, Lithium, is also a mood stabilizer primarily used in bipolar disorder and does not directly increase serotonin levels.
In which age children develop a sense of trust:
- A. 0-1 year
- B. 1-3 years
- C. 3-5 years
- D. 5-7 years
Correct Answer: A
Rationale: Erikson's trust vs. mistrust stage occurs from birth to 1 year, building trust through caregiver reliability.