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The nurse knows the lithium, a naturally-occurring salt that is excreted by the kidneys, has the potential to adversely affect:
- A. Renal function
- B. Thyroid function
- C. ECG
- D. Polyuria
Correct Answer: A
Rationale: The correct answer is A: Renal function. Lithium is excreted by the kidneys, and its accumulation can lead to renal toxicity, affecting renal function. The other choices are incorrect because lithium primarily affects the kidneys, not the thyroid (B), ECG (C), or causes polyuria (D). Lithium toxicity is commonly associated with renal impairment, making A the most appropriate choice.
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The nurse demonstrates an understanding of the importance of assessment in prevention of mental illness when:
- A. Observing the partner of a pregnant woman for evidence of effective support and caring.
- B. Educating the family of a client diagnosed with depression as to the signs of suicide planning.
- C. Encouraging the parents of a teenager diagnosed with anorexia to attend family counseling.
- D. Assessing the problem-solving skills of a client diagnosed with obsessive-compulsive disorder.
Correct Answer: A
Rationale: The correct answer is A because observing the partner of a pregnant woman for effective support and caring is important in preventing mental illness by promoting a supportive environment. This assessment can help identify potential risk factors or stressors that may contribute to the development of mental health issues. In contrast, options B, C, and D focus on interventions after the mental illness has already been diagnosed, rather than prevention through early assessment. B addresses managing a diagnosed condition, C focuses on treatment through counseling, and D involves evaluating specific symptoms rather than holistic support. Thus, A is the most appropriate choice for prevention through early assessment.
A hypothesis which defines the population distribution is called:
- A. Null Hypothesis
- B. Statistical Hypothesis
- C. Simple Hypothesis
- D. Composite Hypothesis
Correct Answer: C
Rationale: A simple hypothesis specifies a single population distribution value.
A patient undergoing alcohol rehabilitation decides to accept disulfiram (Antabuse) therapy to avoid impulsively responding to drinking cues. Which information should be included in the discharge teaching for this patient? Select all that apply.
- A. Avoid aged cheeses.
- B. Read labels of all liquid medications.
- C. Wear sunscreen and avoid bright sunlight.
- D. Maintain an adequate dietary intake of sodium.
Correct Answer: B
Rationale: Step 1: Disulfiram causes a severe adverse reaction when combined with alcohol.
Step 2: Liquid medications may contain alcohol, causing a disulfiram-alcohol reaction.
Step 3: Reading labels of all liquid medications helps the patient avoid alcohol-containing products.
Step 4: A, C, and D are incorrect as they are not directly related to disulfiram therapy or alcohol avoidance.
In which disorder Child's speech is difficult to understand at age 4 or older:
- A. Speech sound disorder
- B. Speech disorder
- C. Voice disorder
- D. Resonance Disorders
Correct Answer: A
Rationale: Speech sound disorder involves persistent articulation issues beyond age 4.
Which statement by an older adult who has recently had hip replacement surgery supports that her positive attitude is contributing to her mental health wellness?
- A. I know I can't go hiking like I did, but I really miss it so much.'
- B. I can't go hiking, but I still enjoy walking in the park in the afternoon.'
- C. If I work really hard in rehab, I think I'll be able to hike again next spring.'
- D. Hiking gave me such pleasure, but if I can't hike, I'll just have to get used to it.'
Correct Answer: B
Rationale: The correct answer is B because it demonstrates a positive attitude and adaptability. The older adult acknowledges the limitation of not being able to hike but focuses on enjoying walking in the park, showing resilience and a proactive approach to finding joy in other activities. Choice A reflects a focus on what is missed, choice C is future-oriented without accepting the current situation, and choice D shows resignation rather than a positive outlook. Overall, choice B showcases a realistic yet optimistic perspective that supports mental health wellness after hip replacement surgery.