Nokea
The belief stated in the previous question is more common among which of the following ethnic groups?
- A. Hispanic
- B. Caucasian
- C. Asian
- D. African American
Correct Answer: D
Rationale: This belief is notably prevalent among African Americans, per cultural studies.
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Which of the following roles does a case manager not perform?
- A. Counselor - a client focussed enabler and educator
- B. Advisor - providing the client with advice from previous experience
- C. Coordinator - Matching a client with services, brokering
- D. Advocacy - Focus on mediating and organizing a client's service system
Correct Answer: B
Rationale: Advising from personal experience is less typical; case managers focus on systemic roles.
The psychological test that measures creativity is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: D
Rationale: TAT assesses creativity through story originality.
Sensory processing disorder (SPD) was likened by its founder (A. Jean Ayres) to a 'neurological traffic jam':
- A. Multiple
- B. Sensory
- C. Adaptive
- D. Communication
Correct Answer: B
Rationale: SPD, per Ayres, is a sensory issue, akin to a neurological traffic jam.
Why are beta blockers given to patients experiencing anxiety?
- A. Help to slow heart rate and decrease blood pressure
- B. Ataxia
- C. Sexual dysfunction
- D. Urinary retention
Correct Answer: A
Rationale: Beta blockers are given for anxiety as they help slow heart rate and decrease blood pressure, reducing physical symptoms of anxiety like palpitations and sweating. This is achieved by blocking the effects of adrenaline on the heart and blood vessels. Ataxia, sexual dysfunction, and urinary retention are not typical side effects of beta blockers and are not relevant to their use in treating anxiety.
A patient comes to an outpatient appointment obviously intoxicated. The nurse should:
- A. explore the patient’s reasons for drinking today.
- B. arrange admission to an inpatient psychiatric unit.
- C. coordinate emergency admission to a detoxification unit.
- D. tell the patient, 'We cannot see you today because you’ve been drinking.'
Correct Answer: D
Rationale: Step-by-step rationale for Answer D (Correct):
1. Safety first: Intoxicated patients can be a safety risk to themselves and others.
2. Ethical responsibility: Providing care to an intoxicated patient may compromise the quality of care.
3. Setting boundaries: Communicating that the appointment cannot proceed due to intoxication sets a clear boundary.
4. Referral assistance: The patient can be directed to appropriate resources for help with substance abuse.
Summary of why other choices are incorrect:
A (explore reasons): Not appropriate when patient is intoxicated. B (inpatient unit): Premature without assessing the situation. C (detox unit): Immediate detox may not be necessary.