Nokea
The most appropriate nursing intervention with Marie (from question 9) would be to:
- A. Refer her to her family physician for a complete physical examination.
- B. Suggest she seek outside employment now that her children have left home.
- C. Identify convenient support systems for times when she is feeling particularly despondent.
- D. Begin grief work and assist her to recognize areas of self-worth separate and apart from her children.
Correct Answer: D
Rationale: The correct answer is D because Marie is experiencing empty nest syndrome, a common emotional response when children leave home. Grief work helps her process and cope with the loss, while recognizing self-worth beyond motherhood promotes self-identity. Referring her to a physician (A) may not address her emotional needs. Seeking outside employment (B) may not address her emotional concerns. Identifying support systems (C) is helpful but doesn't directly address her need for grief work and self-worth recognition.
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he theorist who believes that children actively construct knowledge is
- A. Jean Piaget
- B. B.F. Skinner
- C. Albert Bandura
- D. John Dewey
Correct Answer: A
Rationale: Piaget's constructivism posits that children actively build knowledge through interaction with their environment.
An Asian-American client has been prescribed an antidepressant medication for severe depression. When the nurse prepares discharge teaching topics for this client, which specific information will be included?
- A. The Asian culture is traditionally resistant to the use of antidepressant medication and so the importance of compliance with the prescribed treatment plan is stressed.
- B. Ethnic Asian foods have been shown to cause poor absorption of many medications and so the antidepressant medication should be taken on an empty stomach.
- C. Some racial and ethnic groups are genetically predisposed to enzyme deficiencies that require that their medications be prescribed at lower than normal dosages.
- D. Antidepressants can take weeks to reach the therapeutic blood serum levels required for the symptoms of severe depression to demonstrate improvement.
Correct Answer: C
Rationale: Step 1: Correct Answer (C) - Some racial and ethnic groups are genetically predisposed to enzyme deficiencies that require medications at lower dosages.
Step 2: Explanation - Certain racial and ethnic groups may have genetic variations that affect how they metabolize medications, leading to enzyme deficiencies. This can result in the need for lower dosages to avoid adverse effects.
Step 3: Incorrect Choices:
A: Incorrect - Stereotyping the Asian culture as resistant to antidepressants is not evidence-based. Compliance is important for all patients regardless of culture.
B: Incorrect - Absorption issues related to specific ethnic foods are not a generalized concern for all Asian-Americans taking antidepressants.
D: Incorrect - While it is true that antidepressants may take weeks to reach therapeutic levels, the question is asking about specific considerations for an Asian-American client, not a general fact about medication effectiveness.
When seeing an underage child with a parent who does not speak English, which approach would have the greatest positive impact on adherence?
- A. Using a trained medical interpreter
- B. Providing bilingual medical pamphlets for the patient
- C. Giving verbal instructions directly to the patient
- D. Providing written instructions for medications
Correct Answer: A
Rationale: A trained interpreter ensures accurate communication with the parent.
The psychosexual stage associated with sexual maturity is
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: D
Rationale: The genital stage (puberty onward, Freud) focuses on mature sexuality.
The child's ability to understand cause and effect develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: A
Rationale: Cause-and-effect understanding begins in the sensorimotor stage through actions (Piaget).