Nokea
Psychotropic medications that are strong blockers of the D2 receptor may result in which of the following side effects?
- A. Sedation
- B. Urinary retention
- C. Extrapyramidal symptoms
- D. Hypertensive crisis
Correct Answer: C
Rationale: Strong D2 receptor blockade, commonly associated with antipsychotic medications, can lead to extrapyramidal symptoms (e.g., parkinsonism, dystonia), aligning with option c.
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Which statement is most concerning regarding a depressed client's state of mind?
- A. I just want to go to sleep and not wake up.'
- B. When I get out of here I'm going to kill myself.'
- C. I'm so tired of living like this; I want it to be over.'
- D. Shooting myself with dad's gun will end it all quickly.'
Correct Answer: D
Rationale: The correct answer is D because it specifically mentions a method of suicide involving a gun, indicating a higher level of planning and immediacy. This statement suggests a clear intent to harm oneself and poses an immediate risk. Choice A expresses a desire to escape but lacks a specific plan. Choice B indicates a future intent, which may not necessarily pose an immediate risk. Choice C expresses a desire for the suffering to end but does not specify a method, indicating a lower level of immediate risk compared to choice D.
The nurse is contributing to a teaching plan. What information should the nurse include that identifies the methods in which HIV can be transmitted? (Select all that apply.)
- A. Urine
- B. Sweat
- C. Saliva
- D. Semen
Correct Answer: D
Rationale: Step 1: HIV is primarily transmitted through body fluids containing high concentrations of the virus, such as semen.
Step 2: Semen contains a high viral load, making it a common mode of HIV transmission.
Step 3: Other body fluids like urine, sweat, and saliva do not typically contain high enough levels of the virus to transmit HIV.
Step 4: Therefore, option D (Semen) is correct as it aligns with the established modes of HIV transmission.
Summary: Urine, sweat, and saliva do not pose a significant risk for HIV transmission due to their low viral load. Semen, on the other hand, contains high concentrations of the virus, making it a primary mode of transmission.
You are the supervising nurse in a physical rehabilitation center that has the philosophy that clients have the need to cope with their disabilities and its limitations are the result of a discrepancy between the client's abilities and the limitations of the physical and social environment within which the client lives. Which model of disability is this philosophy based on?
- A. Orem's Self Care Model
- B. Nagi's Model
- C. A cognitive model of disability
- D. A biomedical model of disability
Correct Answer: B
Rationale: Nagi's Model (B) focuses on ability-environment discrepancies.
Which of the following is unlikely to influence the doctor-patient relationship?
- A. The cleanliness of the office
- B. Physician's bias toward patients
- C. Past experiences of patients
- D. Personal prejudices of patients against certain ethnic groups
Correct Answer: A
Rationale: Office cleanliness has minimal direct impact compared to interpersonal factors.
Sal va dor was the first person to create
- A. Criticism
- B. Strategic approach
- C. Standard approach
- D. Client counseling
Correct Answer: B
Rationale: Salvador Minuchin pioneered the strategic approach in family therapy, focusing on systemic change.