Nokea
Psychotropic medications that block the acetylcholine receptor may result in which of the following side effects?
- A. Dry mouth
- B. Sexual dysfunction
- C. Nausea
- D. Priapism
Correct Answer: A
Rationale: Blocking acetylcholine receptors, often seen with anticholinergic medications, frequently causes dry mouth due to reduced salivary gland activity, aligning with option a.
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The nurse is providing care to a patient who has had diagnostic testing for HIV. Which test should the nurse review to monitor the response to antiretroviral therapy?
- A. Western blot
- B. Viral load testing
- C. P24 antigen testing
- D. Enzyme-linked immunosorbent assay
Correct Answer: B
Rationale: The correct answer is B: Viral load testing. This test measures the amount of HIV RNA in the blood, reflecting the effectiveness of antiretroviral therapy in suppressing viral replication. Monitoring viral load helps assess treatment response and determine if adjustments are needed.
A: Western blot is used for confirming HIV infection, not for monitoring treatment response.
C: P24 antigen testing detects a protein associated with HIV infection but is not as sensitive as viral load testing for monitoring therapy.
D: Enzyme-linked immunosorbent assay (ELISA) is used for initial HIV screening, not for monitoring treatment response.
Which of the following roles does a case manager not perform?
- A. Counselor - a client focussed enabler and educator
- B. Advisor - providing the client with advice from previous experience
- C. Coordinator - Matching a client with services, brokering
- D. Advocacy - Focus on mediating and organizing a client's service system
Correct Answer: B
Rationale: Advising from personal experience is less typical; case managers focus on systemic roles.
With growing age motivation reduces naturally
- A. Extrinsic
- B. Frequent
- C. Intrinsic
- D. Concentrated
Correct Answer: C
Rationale: Intrinsic motivation declines with age due to priority shifts.
Joy is occupied exclusively with thoughts of her fathers death. Although Joy is preoccupied with his death, she is still planning to purchase a gift for his birthday, which would have been in two more weeks. Dr. Leone advises the nurse to assist Joy through this stage of grief, which is known as:
- A. Denial.
- B. Anger.
- C. Bargaining.
- D. Acceptance.
Correct Answer: A
Rationale: To protect themselves from the pain of the death, people use denial to unconsciously avoid facing reality and pain from the loss. Denial can seem irrational and can be intermittent.
Reinforcer function as a reward
- A. Primary
- B. Secondary
- C. Both
- D. None of these
Correct Answer: C
Rationale: Primary (innate) and secondary (learned) reinforcers reward behavior.