Nokea
The part of my behavioral facilitation system that determines how I react to a good class grade, a raise at work, or my confidence is called:
- A. Positive affectivity
- B. Social affectivity
- C. Emotions
- D. Over-reaction
Correct Answer: A
Rationale: Positive affectivity (Watson) governs reactions to positive events like grades or raises.
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Which mode of decisionmaking is prevalent among families of Asian Indian origin?
- A. Individual deliberation
- B. Conscious belief-based deliberation
- C. Instinct-based deliberation
- D. Communal deliberation
Correct Answer: D
Rationale: Communal decision-making is typical in Asian Indian families, involving multiple members.
Which of the following physician barriers can affect a patient's adherence?
- A. Lack of insight into the patient's illness
- B. Inadequate explanation of instructions
- C. Cost of medications or treatment
- D. Distraction by other life issues or priorities
Correct Answer: B
Rationale: Clear instructions are critical for adherence; inadequate explanations often lead to misunderstanding and non-compliance.
A client is questioning why she was told that the nausea she is experiencing with this new antidepressant medication will subside once her medication is regulated. Based on the pharmacologic principle of steady state, the nurse explains that:
- A. When her body reaches a steady point where introduction and elimination of the medication are constant the nausea will stop.
- B. Blood work can be done to determine the appropriate time her body will reach a steady state when the new medication will not cause the nausea.
- C. Antidepressants commonly cause nausea for the first 10 doses and once her body can steady the absorption of the medication the side effect will stop.
- D. Antidepressants have a relatively short half life that will allow for the blood serum's steady state to occur within a few days and then the nausea will stop.
Correct Answer: A
Rationale: The correct answer is A because steady state refers to the point where drug intake equals drug elimination in the body, leading to a constant drug concentration. This equilibrium is reached after approximately 4-5 half-lives of the medication. Once the body reaches steady state, the drug's effects, including nausea, become more predictable and stable.
Choice B is incorrect because blood work cannot determine the exact time it takes for the body to reach steady state.
Choice C is incorrect because the number of doses is not a reliable indicator for when steady state is reached, as it depends on the drug's half-life and individual factors.
Choice D is incorrect because stating that antidepressants have a relatively short half-life is not universally true, and the time to reach steady state can vary depending on the specific medication and individual factors.
Which of the following are the five Rights of Supervision?
- A. The right task, the right circumstances, the right person, the right competency, and the right supervision or feedback
- B. The right task, the right circumstances, the right person, the right direction or communication, and the right supervision or feedback
- C. The right competency, the right education and training, the right scope of practice, the right environment and the right client condition
- D. The right competency, the right person, the right scope of practice, the right environment and the right client condition
Correct Answer: A
Rationale: These are the recognized 'Five Rights' of supervision.
The nurse is preparing to read the Mantoux tuberculin skin test placed on the forearm of a patient with HIV. Which finding should the nurse report as a positive test for this patient?
- A. 2 mm
- B. 3 mm
- C. 4 mm
- D. 5 mm
Correct Answer: D
Rationale: The correct answer is D (5 mm) for a positive Mantoux test in a patient with HIV. In HIV-positive individuals, a positive test is considered when the induration is ≥5 mm. This is because the immune system may be compromised, leading to a delayed immune response. Choices A, B, and C (2 mm, 3 mm, 4 mm) are not considered positive for HIV-positive individuals due to their weakened immune system, requiring a larger induration size to indicate a positive test.