Nokea
Short term memory is also termed as
- A. Mini
- B. Working
- C. Hard
- D. Light
Correct Answer: B
Rationale: Working memory equates to short-term memory.
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How might the perspectives of financially secure patients with respect to end-of-life care differ from those of disadvantaged patients?
- A. Financially secure patients are more likely to insist that everything be done to keep them alive
- B. Disadvantaged patients may interpret end-of-life care as an attempt to deny essential treatments
- C. Disadvantaged patients are more likely to want to spend their last days outside the hospital
- D. Financially secure patients are more likely to demand placement in assisted living facilities to avoid burdening their families
Correct Answer: B
Rationale: Disadvantaged patients may distrust end-of-life care due to historical inequities, perceiving it as withheld treatment.
A patient admitted yesterday for injuries sustained while intoxicated believes the window blinds are snakes trying to get into the room. The patient is anxious, agitated, and diaphoretic. Which medication can the nurse anticipate the health care provider will prescribe?
- A. Monoamine oxidase inhibitor, such as phenelzine (Nardil)
- B. Phenothiazine, such as thioridazine (Mellaril)
- C. Benzodiazepine, such as lorazepam (Ativan)
- D. Narcotic analgesic, such as morphine
Correct Answer: C
Rationale: The correct medication to anticipate for this patient is a benzodiazepine, such as lorazepam (Ativan).
Rationale:
1. Benzodiazepines are commonly used to treat acute agitation and anxiety in patients, which is present in this case.
2. Lorazepam has a rapid onset of action and can help calm the patient quickly.
3. It can help manage the patient's perception of the window blinds as snakes and reduce agitation.
4. Benzodiazepines are safer for patients with alcohol intoxication compared to other sedatives or antipsychotics.
Summary of Incorrect Choices:
A: Monoamine oxidase inhibitors are not typically used for acute agitation and anxiety. They have a slower onset of action and are not first-line for this situation.
B: Phenothiazines may worsen the patient's condition due to their potential side effects like sedation and hypotension.
D: Narcotic analgesics are not appropriate for managing anxiety or agitation
The Montessori approach believes materials should be
- A. Teacher-provided
- B. Child-selected
- C. Standardized
- D. Simple
Correct Answer: B
Rationale: Montessori materials are child-selected to encourage autonomy.
Which is not a technique of SFT?
- A. Joining the family
- B. Blocking inflexible patterns
- C. Heighten conflictual interaction
- D. Balancing inflexible patterns of interaction
Correct Answer: D
Rationale: Balancing isn't a specific SFT technique; the others are standard.
Andrew, a New York City firefighter, and his entire unit responded to the terrorist attacks at the World Trade Center. Working as a team, he and his best friend, Carlo, entered the area together. Carlo was killed when the building collapsed. Andrew was injured, but survived. Since that time, Andrew has had frequent nightmares and anxiety attacks. He says to the mental health worker, 'I don’t know why Carlo had to die and I didn’t!' This statement by Andrew suggests that he is experiencing:
- A. Spiritual distress
- B. Night terrors
- C. Survivor’s guilt
- D. Suicidal ideation
Correct Answer: C
Rationale: The correct answer is C: Survivor's guilt. Andrew's statement indicates feelings of guilt and confusion about why he survived while Carlo did not. Survivor's guilt is a common psychological response in individuals who have lived through a traumatic event where others did not. Andrew's frequent nightmares and anxiety attacks are also typical symptoms of survivor's guilt.
A: Spiritual distress is not the correct answer in this scenario as Andrew's statement does not specifically reference any spiritual or religious beliefs or conflicts.
B: Night terrors may be a symptom of Andrew's PTSD, but his statement about not understanding why he survived while Carlo did not suggests a deeper emotional struggle beyond just experiencing night terrors.
D: Suicidal ideation is not the correct answer as Andrew's statement does not indicate any desire or intention to harm himself. Rather, he is expressing confusion and guilt about surviving the traumatic event.