Nokea
The nurse is preparing to administer PRN medication to a client of Japanese descent who is anxious. The prescription reads, 'Alprazolam (Xanax) 0.25 to 1.0 mg PO PRN.' The best dose for the nurse to give initially is
- A. 0.25 mg.
- B. 0.5 mg.
- C. 0.75 mg.
- D. 1.0 mg.
Correct Answer: A
Rationale: Persons of Asian descent often metabolize drugs more slowly, requiring lower doses to produce therapeutic effects and minimize side effects.
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It is recorded in the client's chart that the family is resilient. The nurse concludes which of the following characteristics about the family life of this client? Select all that apply.
- A. Family members are independent of one another.
- B. Family members spend time together.
- C. Family members engage in recreational activities together.
- D. Family members share the same personal goals.
- E. Family members allow individual members to develop unique daily routines.
Correct Answer: B,C
Rationale: Resilient families spend time together and engage in recreational activities, fostering accord and support.
Spirituality is especially important in helping people cope primarily for which of the following reasons?
- A. Spirituality involves the essence of a person's being and beliefs.
- B. Spirituality gives people set personal goals.
- C. Spirituality provides a reliable support network.
- D. Spirituality guides beliefs about the meaning of life events.
Correct Answer: D
Rationale: Spirituality primarily guides beliefs about the meaning of life events, serving as a primary coping mechanism.
Direct eye contact is preferred by which of the following cultures?
- A. Native Americans
- B. Cambodians
- C. Russians
- D. Chinese
Correct Answer: C
Rationale: Russians prefer direct eye contact, unlike the other listed cultures.
Which of the following statements about hope and symptoms of mental illness are true? Select all that apply.
- A. Hope is not realistic and therefore is not related to mental well-being.
- B. Persons having more hope experienced fewer actual symptoms.
- C. Hope is a cause of mental illness.
- D. There is not a significant relationship between hopelessness and increased symptoms.
- E. A possible way to help clients manage and decrease symptoms would be to support the development of hope.
Correct Answer: B,E
Rationale: Hope is associated with fewer symptoms, and supporting its development can help manage mental illness symptoms.
A nurse is teaching decision-making skills to a client with dependent personality disorder. According to Erikson, the likely cause of the client developing dependent personality is failure to meet the critical task of which developmental stage?
- A. Trust
- B. Autonomy
- C. Initiative
- D. Industry
Correct Answer: D
Rationale: Failure to complete the critical task of industry versus inferiority results in a negative outcome, impeding the development of confidence in one's abilities, which can contribute to dependent personality traits.