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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A nurse interviews a homeless parent with two teenage children. To best assess the familys use of resources, the nurse should ask:
- A. Can you describe a problem your family has successfully resolved?
- B. What community agencies have you found helpful in the past?
- C. What aspect of being homeless is most frightening for you?
- D. Do you feel you have adequate resources to survive?
Correct Answer: B
Rationale: The correct option asks about use of resources in an open, direct fashion. It will give information about choices the family has made regarding use of resources in the community. The other questions do not address prior use of resources or focus on other aspects of coping.
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.
The desired outcome of working with an individual who has witnessed a traumatic event and is now experiencing panic anxiety is:
- A. The individual will experience no anxiety.
- B. The individual will demonstrate hope for the future.
- C. The individual will maintain anxiety at manageable level.
- D. The individual will verbalize acceptance of self as worthy.
Correct Answer: C
Rationale: The correct answer is C because it focuses on managing the anxiety at a manageable level, which is a realistic and achievable goal in the short term. This approach acknowledges the individual's current state and aims to provide coping strategies to help them function despite the anxiety. Option A is incorrect as it is unrealistic to expect no anxiety after a traumatic event. Option B is not the immediate priority when the individual is experiencing panic anxiety. Option D is also incorrect as self-acceptance may be a long-term goal but is not the immediate focus in managing panic anxiety.
----% have mild intellectual disability:
- A. 88
- B. 89
- C. 85
- D. 86
Correct Answer: C
Rationale: About 85% of those with intellectual disability have mild forms, manageable with support.
Which nurse-focused action demonstrates an understanding of the importance of value clarification to the therapeutic relationship between nurse and client?
- A. Intently listening while the client describes physical abuse she was exposed to as a child
- B. Offering to arrange for the hospital chaplain to visit a client who is severely depressed
- C. Asking a client to explain his or her cultural beliefs regarding the role of women
- D. Encouraging the client to read a newspaper article that debates various political issues
Correct Answer: C
Rationale: The correct answer is C because asking a client to explain his or her cultural beliefs regarding the role of women demonstrates an understanding of the importance of value clarification. By exploring the client's cultural beliefs, the nurse shows respect for the client's values and perspectives, which is essential for building a therapeutic relationship. This action also promotes cultural competence and helps the nurse understand the client's worldview.
Choice A is incorrect because although intently listening is important, it does not specifically address value clarification. Choice B is incorrect because arranging for the chaplain's visit may be helpful but does not directly relate to value clarification. Choice D is incorrect as encouraging the client to read a newspaper article on political issues does not necessarily focus on the client's values or beliefs.