Nokea
The psychological test measure emotional health is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: B
Rationale: The MMPI evaluates emotional health and psychological well-being.
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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.
A patient has smoked two packs of cigarettes daily for many years. When the patient does not smoke or tries to cut back, anxiety, craving, poor concentration, and headache result. What does this scenario describe?
- A. Substance abuse
- B. Substance intoxication
- C. Substance dependence
- D. Recreational use of a social drug
Correct Answer: C
Rationale: The correct answer is C: Substance dependence. This scenario describes a pattern of symptoms indicative of substance dependence, which includes tolerance, withdrawal symptoms when trying to cut back, unsuccessful attempts to quit, and continued use despite negative consequences. The patient's reliance on cigarettes to manage anxiety, craving, poor concentration, and headache indicates a psychological and physical dependence on nicotine.
A: Substance abuse typically involves harmful use of a substance but does not necessarily include physiological dependence.
B: Substance intoxication refers to the immediate effects of a substance in the body, not the long-term pattern of dependence.
D: Recreational use of a social drug implies occasional and non-regular use, which does not align with the described scenario of chronic, daily smoking leading to withdrawal symptoms.
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).
A grieving patient tells a nurse, Its been eight months since my spouse died. I thought I would feel better by now, but lately I feel worse. I have no energy. I am lonely, but I dont want to be around people. What should I do? What is the nurses best counsel?
- A. Seek psychotherapy.
- B. Become active in a church.
- C. Go to the spouses grave every day.
- D. Understand this is a normal response.
Correct Answer: D
Rationale: The patient needs understanding and support that the feelings are normal. Although feelings of depression generally decline over the period of a year after the death of a loved one, the decline is not linear. Loneliness and aimlessness are most pronounced 6 to 9 months after the death. The patient should be educated about normal phenomena experienced during bereavement. The other options are not clearly indicated.
The nurse is managing the care of an older adult who has recently immigrated to the United States from an Asian country. The client is depressed and is neither sleeping nor eating well. In order to best facilitate the client's care in a culturally competent manner, the nurse:
- A. Encourages the client's adult children to visit as often as possible especially around meals and bedtime.
- B. Assesses the client's ability to understand the importance of both eating and sleeping in a healthy manner.
- C. Discusses interventions that may support the client in sleeping and eating with the adult members of the family.
- D. Requests a consult with the dietitian to discuss how to supplement the client's diet while using food to effectively promote sleep.
Correct Answer: C
Rationale: Rationale:
1. Choice C is correct as it involves discussing interventions with the family, respecting the client's cultural norms and involving them in the care plan.
2. Choice A assumes family involvement without assessing the client's preferences or cultural beliefs, potentially imposing Western values.
3. Choice B focuses solely on individual assessment without considering the importance of family dynamics in the client's culture.
4. Choice D addresses dietary concerns but overlooks the holistic approach of involving the family in the care plan.