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.
For learning and growth to occur, positive feedback needs to be present
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Positive feedback amplifies change, not stability; learning can occur without it.
Piaget proposed cognitive stages.
- A. 4
- B. 6
- C. 5
- D. 8
Correct Answer: A
Rationale: Piaget outlined four stages: sensorimotor, preoperational, concrete operational, and formal operational.
When asked if complementary and alternative medicine (CAM) therapies have value as nursing interventions for mentally ill individuals the nurse replies:
- A. If the client is interested in CAM therapies, as a nurse I need to support that interest.'
- B. CAM therapies are controversial; as a nurse I think their use should be discussed with the physician first.'
- C. Some of these therapies have been proven to have a positive impact on a variety of mental health conditions; to provide effective care for my clients I need to be aware and open to their appropriate use.'
- D. These nontraditional therapies seem to work for some people; as a nurse, I need to educate my clients as to their limitations.'
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct:
1. Choice C acknowledges that some CAM therapies have been proven to have a positive impact on mental health conditions.
2. As a nurse, being aware and open to the appropriate use of these therapies can enhance the quality of care provided to mentally ill individuals.
3. By embracing evidence-based practices, the nurse can integrate effective CAM therapies into the treatment plan.
4. It demonstrates a patient-centered approach by considering the potential benefits of CAM therapies for individual clients.
5. This response aligns with the principles of holistic nursing care and evidence-based practice in mental health.
Summary:
Choice A focuses solely on the client's interest without considering evidence-based practice. Choice B emphasizes the controversial nature of CAM without recognizing its potential benefits. Choice D implies a lack of confidence in CAM therapies without acknowledging their proven efficacy. Choice C stands out for its evidence-based approach and patient-centered care in considering the positive impact of CAM therapies on mental health conditions.
----aims at discussing and understanding the problem, advising and empowering him to take a decision concerning his/her career or life goals in one-to-one sessions:
- A. Guidance
- B. Counseling
- C. Advice
- D. Advise
Correct Answer: B
Rationale: Counseling empowers decision-making through one-on-one problem exploration (Rogers).