Nokea
Psychotropic medications that block the reuptake of serotonin may result in which of the following side effects?
- A. Dry mouth
- B. Constipation
- C. Blurred vision
- D. Sexual dysfunction
Correct Answer: D
Rationale: Selective serotonin reuptake inhibitors (SSRIs), which block serotonin reuptake, are commonly associated with sexual dysfunction as a side effect, aligning with option d.
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You routinely use the PQRST method to assess pain. The PQRST method consists of:
- A. Pain level, the quality of the pain, the region or area of the pain, the severity of the pain, and the pain triggers
- B. Precipitating factors, the quality of the pain, relief factors, the severity of the pain, and the pain triggers
- C. Pain level, the quantitative numerical pain score, the region or area of the pain, the severity of the pain, and the pain triggers
- D. Precipitating factors, the quality of the pain, the region or area of the pain, the severity of the pain, and the pain triggers
Correct Answer: D
Rationale: PQRST (D) stands for Precipitating, Quality, Region, Severity, Timing.
The nurse is reviewing laboratory results for a patient who has HIV. Which result would be strongly suggestive of a diagnosis of AIDS?
- A. CD4+ = 180/μL
- B. CD4+ percentage = 68%
- C. CD8+ = 650/μL
- D. CD4+/CD8+ ratio = 1.5
Correct Answer: A
Rationale: The correct answer is A because a CD4+ count of 180/μL is significantly below the normal range (500-1500/μL) and indicative of severe immunosuppression, which is a hallmark of AIDS. CD4+ percentage alone (choice B) may not provide the full picture. CD8+ count (choice C) doesn't directly indicate immune system status in HIV/AIDS. The CD4+/CD8+ ratio (choice D) may be altered in various conditions, not specific to AIDS.
The ability to understand that quantity remain same despite of appearance is
- A. Object permanence
- B. Conservation
- C. Reversibility
- D. Egocentrism
Correct Answer: B
Rationale: Conservation (Piaget) is understanding that quantity remains constant despite changes in form.
A parent is admitted to a chemical dependency treatment unit. The patients spouse and adolescent children participate in a family session. What is the most important aspect of this familys assessment?
- A. Spouses codependent behaviors
- B. Interactions among family members
- C. Patients reaction to the familys anger
- D. Childrens responses to the family sessions
Correct Answer: B
Rationale: Interactions among all family members are the raw material for family problem solving. By observing interactions, the nurse can help the family make its own assessments of strengths and deficits. The other options are narrower in scope when compared with the correct option.
A trusting physician-patient relationship is a key factor in improving patient adherence to prescribed medications. Which of the following might discourage a patient from taking his/her medications?
- A. Using a trained medical interpreter to explain a prescription schedule
- B. Discussing folk or culture beliefs in the context of treating illness
- C. Prescribing complex treatments
- D. Reinforcing the urgency of the patient's illness
Correct Answer: C
Rationale: Complex treatments can overwhelm patients, reducing adherence due to confusion or burden.