Nokea
----study of twins found that hypersensitivity to light and sound may have a strong genetic component:
- A. 2005
- B. 2006
- C. 2007
- D. 2008
Correct Answer: C
Rationale: A 2007 twin study linked hypersensitivity to genetics, supporting SPD's hereditary basis.
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A widow grieving her husbands sudden death tells the nurse, Im not feeling well. Yesterday, I saw my husband walk through the door, stop, and smile at me. Then he just faded away. Which is the nurses most appropriate action?
- A. Assess for recent substance abuse.
- B. Suggest a referral to the mental health clinic.
- C. Arrange for an evaluation for antidepressant medication.
- D. Counsel the widow that visualizations are a normal part of grieving.
Correct Answer: D
Rationale: Grieving patients often dream about, visualize, think about, or search for the lost loved one. The patient should be told that this is considered a normal phenomenon and not a sign of mental illness. Visualization does not suggest substance abuse or mental illness in this case.
A patient with AIDS-related wasting syndrome is very weak, lies listlessly in bed, has an intravenous (IV) drip, and receives antiretroviral medications via injection. What should be the priority nursing diagnosis for this patient?
- A. Pain related to immobility
- B. Ineffective Individual Coping due to terminal stage of HIV
- C. Risk for Injury due to impaired mobility, weakness, and weight loss
- D. Risk for Infection due to weak immune system and parenteral therapy
Correct Answer: D
Rationale: The correct answer is D: Risk for Infection due to weak immune system and parenteral therapy. This is the priority nursing diagnosis because a patient with AIDS-related wasting syndrome is at high risk for infections due to their weak immune system and parenteral therapy, which can introduce pathogens into the body. Addressing the risk for infection is crucial in preventing further complications and promoting the patient's overall well-being.
Choice A (Pain related to immobility) is not the priority as the patient's immobility is not the immediate concern compared to the risk of infection.
Choice B (Ineffective Individual Coping due to terminal stage of HIV) may be a valid concern, but ensuring the patient's physical health and preventing infections take precedence.
Choice C (Risk for Injury due to impaired mobility, weakness, and weight loss) is important but does not address the immediate threat of infection that the patient faces.
he Montessori approach believes that discipline comes from
- A. Punishment
- B. Reward
- C. Self-control
- D. Teacher's authority
Correct Answer: C
Rationale: Montessori fosters self-control as the basis for discipline.
Which of these is not one of Biesteks's Seven Principles of Relationship
- A. Acceptance
- B. Independence
- C. Controlled emotional involvement
- D. Confidentiality
Correct Answer: B
Rationale: Independence is not among Biestek's original seven; the others are core principles.
Which federal law is most closely associated with the highly restrictive “need to know�
- A. The Patient Self Determination Act
- B. The Mental Health Parity Act
- C. The Health Insurance Portability and Accountability Act
- D. The Americans with Disabilities Act of 1990
Correct Answer: C
Rationale: HIPAA enforces strict 'need to know' provisions for medical information.