Nokea
Structural Family Therapy was designed to
- A. Support contemporary families at Levels 1 and 2
- B. Meet the needs of troubled inner city youth
- C. Is exclusively for low-income families
- D. Help impose boundaries on families
Correct Answer: B
Rationale: SFT was developed by Minuchin to address youth behavioral issues in urban settings.
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A 16-year-old adolescent is hospitalized and acting like a child. According to Erik Erikson, what is the appropriate developmental task?
- A. Industry vs. inferiority
- B. Integrity vs. despair
- C. Identity vs. role confusion
- D. Trust vs. mistrust
Correct Answer: C
Rationale: A 16-year-old is experiencing role confusion perhaps in response to the stress of hospitalization.
12,000 babies in the ----are born each year with a hearing loss:
- A. UK
- B. US
- C. Pak
- D. China
Correct Answer: B
Rationale: In the US, about 12,000 babies are born annually with hearing loss, per CDC data.
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
How should physicians initiate conversations with patients who use complementary or alternative therapies?
- A. In a frank but open manner
- B. In a nonjudgmental manner
- C. In a suspicious manner
- D. In a curious manner
Correct Answer: B
Rationale: Nonjudgmental dialogue encourages openness and integrates CAM into care plans.
The greatest benefit derived from current work being done related to pharmacogenetics is that:
- A. The cost of medication manufacturing will be drastically reduced.
- B. Research and development of new drugs will be much less costly.
- C. Medications will be designed so that they do not cause unwanted side effects.
- D. Medications will be formulated so that only one dose per day will be required.
Correct Answer: C
Rationale: The correct answer is C because pharmacogenetics allows medications to be designed based on an individual's genetic makeup, minimizing unwanted side effects. This is beneficial as it enhances treatment effectiveness and safety. Choice A is incorrect as cost reduction in manufacturing is not the primary focus of pharmacogenetics. Choice B is incorrect as research and development costs are not directly impacted by pharmacogenetics. Choice D is incorrect as the frequency of medication dosing is not the main benefit derived from pharmacogenetics.