Nokea
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 opening identifies the nurses role and politely seeks direction for addressing the patient in a way that will make him or her comfortable. This is particularly important when a considerable age difference exists between the nurse and the patient. The nurse should address patients by name and not assume patients want to be called by a first name. The nurse should always introduce self.
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A physical therapist recently convicted of multiple counts of Medicare fraud is brought to the emergency department after taking an overdose of sedatives. He tells the nurse, 'Sure I overbilled. Why not? Everybody takes advantage of the government. They have too many rules. No one can abide by all of them.' These statements can be assessed as showing:
- A. glibness and charm.
- B. superficial remorse.
- C. lack of guilt feelings.
- D. excessive suspiciousness.
Correct Answer: C
Rationale: The correct answer is C: lack of guilt feelings. The physical therapist's statements reveal a lack of remorse or guilt for committing Medicare fraud, indicating a disregard for ethical standards and a lack of moral responsibility. This behavior is indicative of a lack of guilt feelings, as the individual shows no remorse for their actions.
Summary of other choices:
A: Glibness and charm typically involve smooth talking and being persuasive, which is not demonstrated in the scenario.
B: Superficial remorse implies a shallow or insincere apology, but the individual does not express any form of remorse in this situation.
D: Excessive suspiciousness refers to being overly mistrustful or paranoid, which is not evident in the physical therapist's statements.
Which regions have the lowest rates of death due to poor air quality?
- A. The United States
- B. Greenland
- C. Eastern Europe (Poland, Slovakia, the Czech Republic)
- D. India
Correct Answer: B
Rationale: Greenland, with its sparse population and minimal industry, has low air pollution-related deaths.
Which of the following is true regarding the management of oppositional behaviours in children?
- A. There are no circumstances in which oppositional behaviours are considered typical and expected of children
- B. Assessment of oppositional behaviours should consider individual, dyadic, systemic, and familial risk factors
- C. Psychosocial and pharmacological treatments are found to be equally effective in the management of oppositional behaviours
- D. Parenting involvement and training are not required in the management of oppositional behaviours
Correct Answer: B
Rationale: A comprehensive assessment considering individual, dyadic, systemic, and familial factors is true and essential for managing oppositional behaviors.
Retreat from reality by hallucinations and delusions and by social withdrawal typically characterizes
- A. somatoform disorders
- B. anxiety disorders
- C. psychotic disorders
- D. personality disorders
Correct Answer: C
Rationale: Psychotic disorders, like schizophrenia, involve hallucinations, delusions, and withdrawal, distinguishing them from other categories.
The medication donepezil (Aricept) frequently is used to treat the early-stage symptoms of Alzheimer's disease. When administering this particular medication, the nurse should be especially alert to assess the client for:
- A. Weight changes
- B. Tremors
- C. Increased sweating
- D. Alterations in blood pressure
Correct Answer: D
Rationale: The correct answer is D: Alterations in blood pressure. Donepezil can cause changes in blood pressure as a side effect. Nurses should monitor for orthostatic hypotension and changes in blood pressure to prevent adverse effects. Weight changes (A), tremors (B), and increased sweating (C) are not commonly associated with donepezil and are less likely to be significant concerns when administering this medication for Alzheimer's disease.