Nokea
Parents of a teenager recently diagnosed with serious mental illness express dismay. One parent says, Our child acts so strangely that we dont invite friends to our home. We quit taking vacations. Sometimes we dont get any sleep. Which nursing diagnosis best applies?
- A. Impaired parenting
- B. Dysfunctional grieving
- C. Impaired social interaction
- D. Interrupted family processes
Correct Answer: D
Rationale: Interrupted family processes are evident in the face of disruptions in family functioning as a result of having a mentally ill member. Assessment data best support this diagnosis. Data are insufficient to support the other diagnoses.
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The nurse is managing the care of a client who recently lost his job and is diagnosed with mild situational depression. During the assessment interview, the client volunteered that he stopped attending school in the 8th grade. The nurse is satisfied that a client's lack of formal education has not become a risk factor to his mental health when he:
- A. Asks the nurse to provide him with materials on depression to read.
- B. Reflects on his problem and formulates a realistic plan to find another job.
- C. Signs a safety contract that states he will notify staff of any suicidal ideations he develops.
- D. Promises to attend his group sessions and take his prescribed antidepressant medication.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. Reflecting on his problem and formulating a realistic plan to find another job shows the client's ability to cope and problem-solve, indicating resilience.
2. This demonstrates that the client is actively engaging in positive behaviors to address his situation, which is crucial in managing situational depression.
3. By formulating a plan, the client shows motivation and initiative, which are essential in overcoming challenges.
4. Options A, C, and D do not directly address the client's situation of job loss and his need to find employment, making them less relevant in this context.
Which of the following approaches may aid a health care provider in understanding the factors that affect adherence?
- A. Schedule monthly follow-up appointments
- B. Ask patients if they understand how to take their medications
- C. Find out the significant sources of stress in patients' lives
- D. Offer liquid or chewable alternatives to medicine that must be swallowed
Correct Answer: C
Rationale: Identifying stressors reveals barriers to adherence beyond medication logistics.
The memory which represents personal events of our life is
- A. Procedural
- B. Episodic
- C. Semantic
- D. Long term
Correct Answer: B
Rationale: Episodic memory captures personal life events (Tulving).
Is defined as an incompatibility of goals, beliefs, attitudes and behavior
- A. Resolution
- B. Self-esteem
- C. Maladjustment
- D. Adjustment
Correct Answer: C
Rationale: Maladjustment is a conflict between internal states and behavior.
While caring for a patient with a methamphetamine overdose, which tasks are the priority focuses of care? Select all that apply.
- A. Administration of naloxone (Narcan)
- B. Vitamin B12 and folate supplements
- C. Restoring nutritional integrity
- D. Prevention of seizures
Correct Answer: D
Rationale: The correct answer is D: Prevention of seizures. Methamphetamine overdose can lead to seizures due to its effects on the central nervous system. Preventing seizures is crucial to avoid further complications.
A: Administration of naloxone is used for opioid overdoses, not methamphetamine.
B: Vitamin B12 and folate supplements may be beneficial for long-term recovery but are not the priority in the acute care of a methamphetamine overdose.
C: Restoring nutritional integrity is important but not the immediate priority when managing a methamphetamine overdose.
In summary, preventing seizures should be the priority focus of care for a patient with a methamphetamine overdose as it directly addresses a life-threatening complication of the overdose.