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The nurse provides teaching on nevirapine (Viramune) for a patient who is HIV positive. Which patient statement indicates that teaching has been effective?
- A. Monitor for rash.
- B. Observe urine color.
- C. Report extremity pain.
- D. Monitor for flulike symptoms.
Correct Answer: A
Rationale: The correct answer is A because monitoring for rash is a crucial aspect of nevirapine therapy due to the risk of severe skin reactions. This teaching is essential for the patient's safety and well-being. Option B is unrelated to nevirapine therapy. Option C is vague and not specific to nevirapine side effects. Option D is also important but less specific to nevirapine's adverse effects compared to monitoring for rash. Thus, the correct answer is A.
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Which statement demonstrates an understanding of the value of using rating scales when assessing and documenting client responses?
- A. Documentation is standardized for all depressed clients when you use the depression rating scale.'
- B. The depression rating scale makes tracing a client's response to antidepressant medication much more reliable.'
- C. Clients seem to be able to assign a number to their feelings of depression better than describing them verbally.'
- D. Depressed clients seldom have the energy to adequately respond to an assessment if a depression rating scale isn't used.'
Correct Answer: B
Rationale: The correct answer is B because using a rating scale, like the depression rating scale, provides a quantifiable measure of a client's depressive symptoms, allowing for a more objective assessment and tracking of changes over time. It enhances reliability by standardizing the evaluation process and making it easier to monitor the effectiveness of interventions, such as antidepressant medication. This choice highlights the value of rating scales in clinical practice.
Incorrect answers:
A: This choice focuses on standardization of documentation but doesn't directly address the value of using rating scales for assessing client responses.
C: While clients may find it easier to assign a number to their feelings, this does not specifically relate to the benefits of using rating scales in assessment and documentation.
D: This choice makes assumptions about the energy levels of depressed clients and does not address the key point of the question about the value of using rating scales for assessment and documentation.
Which of the following factors is most likely to contribute to the minimization of the significance of a patient's symptoms by a health care provider?
- A. Middle age
- B. Female gender
- C. High income
- D. Caucasian race
Correct Answer: B
Rationale: Female gender is often linked to symptom minimization due to bias.
When diet is affected by cultural factors, which in turn significantly impact a patient's health care, which of the following approaches is appropriate?
- A. Recommend immediate cessation of the usual diet and provide a list of prohibited foods
- B. Allow the patient to continue his/her usual diet and adjust medications accordingly
- C. Discuss the underlying cultural factors related to the usual diet and explore options within that paradigm that might be better suited to the patient's health
- D. Suggest that the patient instead see a physician who shares his/her cultural background
Correct Answer: C
Rationale: Discussing cultural factors and options respects traditions while promoting health.
Which is not a technique of SFT?
- A. Joining the family
- B. Blocking inflexible patterns
- C. Heighten conflictual interaction
- D. Balancing inflexible patterns of interaction
Correct Answer: D
Rationale: Balancing isn't a specific SFT technique; the others are standard.
is a set of observable and measurable actions.
- A. Emotions
- B. Thoughts
- C. Behaviour
- D. Attitude
Correct Answer: C
Rationale: Behavior refers to observable, measurable actions, distinguishing it from internal states like emotions.