Nokea
Schizophrenia affects approximately _____% of the world's population.
- A. 1
- B. 5
- C. 9
- D. 13
Correct Answer: A
Rationale: The correct answer is A (1%). Schizophrenia affects around 1% of the world's population, according to research. This prevalence rate has been consistently reported across different studies and populations. It is a chronic and severe mental disorder, but it is not as common as other mental health conditions. Choices B, C, and D (5%, 9%, 13%) are incorrect because they overestimate the prevalence of schizophrenia. These percentages are much higher than the actual documented rate, which is closer to 1%.
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A consumer at a rehabilitative psychosocial program says to the nurse, 'People are not cleaning up behind themselves in the bathrooms. The building is dirty and cluttered.' How should the nurse respond?
- A. Encourage the consumer to discuss it at a meeting with everyone
- B. Hire a professional cleaning service to clean the restrooms
- C. Address the complaint at the next staff meeting
- D. Tell the consumer, 'Thats not my problem'
Correct Answer: A
Rationale: Consumer-run programs range from informal clubhouses, which offer socialization and recreation, to competitive businesses, such as snack bars or janitorial services, which provide needed services and consumer employment while encouraging independence and building vocational skills. Consumers engage in problem solving under the leadership of staff.
Select the best comment for a nurse to begin an interview with an elderly patient.
- A. I am a nurse. Are you familiar with what nurses do?
- B. Hello. I am going to ask you some questions to get to know you better.
- C. You look comfortable and ready to participate in an admission interview. Shall we get started?
- D. Hello. My name is_____ and I am a nurse. How you would like to be addressed by staff?
Correct Answer: D
Rationale: The correct answer is D because it establishes the nurse's identity and shows respect by asking the patient's preference for addressing them. This approach sets a positive tone and promotes patient-centered care. Option A is incorrect as it assumes the patient's familiarity with nurses. Option B lacks professionalism and fails to acknowledge the purpose of the interview. Option C assumes the patient's readiness without confirming it directly and may come off as presumptuous.
The caregiver for a client with moderate to severe dementia tells the nurse, 'I'm exhausted. He wanders at night instead of sleeping, so I get no rest. I'm afraid to leave him during the day, so I have to take him to the grocery store and to the laundromat. When I'm busy there, he often wanders off. Still, I have to do it all.' The nurse recognizes the need to provide teaching for this caregiver. An appropriate outcome is that the caregiver will:
- A. Develop strategies to ensure the client's safety.
- B. Seek respite care to get a break.
- C. Join a support group for caregivers.
- D. None of the above.
Correct Answer: A
Rationale: The correct answer is A: Develop strategies to ensure the client's safety. This is the most appropriate outcome as it directly addresses the caregiver's concerns of the client wandering and ensures their safety. By developing strategies such as installing door alarms, creating a safe sleeping environment, and establishing a routine, the caregiver can mitigate the risks associated with wandering behavior.
Summary:
- B: Seek respite care to get a break: While respite care is important for caregiver well-being, it does not directly address the safety concerns of the client wandering.
- C: Join a support group for caregivers: While support groups can be beneficial for emotional support, they may not provide immediate solutions to ensure the client's safety.
Which is a common physical finding in patients with bulimia nervosa?
- A. Low blood pressure and bradycardia.
- B. Hyperactivity and increased energy.
- C. Dental enamel erosion and swollen parotid glands.
- D. Constipation and abdominal bloating.
Correct Answer: C
Rationale: The correct answer is C, dental enamel erosion and swollen parotid glands, in patients with bulimia nervosa. This is due to frequent self-induced vomiting. Enamel erosion is caused by stomach acid exposure during vomiting. Swollen parotid glands result from repeated purging. Choices A, B, and D are incorrect because low blood pressure and bradycardia are more common in anorexia nervosa, hyperactivity and increased energy are not typical in bulimia nervosa, and constipation and abdominal bloating are not specific to this disorder.
An adult consulted a nurse practitioner because of an inability to achieve orgasm for 2 years, despite having been sexually active. This adult was frustrated and expressed concerns about the relationship with the sexual partner. Which documentation best indicates the treatment was successful?
- A. No complaints related to sexual function; to return next week.
- B. Patient reports achieving orgasm last week; seems very happy.
- C. Reports satisfaction with sexual encounters; feels partner is supportive.
- D. Reports achieving orgasm occasionally; relationship with partner is adequate.
Correct Answer: C
Rationale: Step 1: Choice C indicates satisfaction with sexual encounters and feeling supported by the partner, which suggest a positive outcome in addressing the inability to achieve orgasm and concerns about the relationship.
Step 2: The patient feeling satisfied and supported signifies improvement in sexual function and relationship dynamics.
Step 3: This documentation reflects a holistic approach to addressing the patient's concerns, focusing on emotional well-being and relationship quality.
Step 4: Overall, choice C demonstrates a comprehensive resolution to the patient's initial complaints and indicates successful treatment.
Summary:
Choice C is the correct answer as it shows improvement in both sexual function and relationship satisfaction. Choices A, B, and D do not address the patient's concerns about the relationship or emotional well-being, making them less appropriate indicators of treatment success.