The psychological test measure intellectual functioning is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: C
Rationale: The WAIS is a comprehensive measure of intellectual functioning and IQ.
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The theorist who believes in developmental stages is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: D
Rationale: Erik Erikson's eight psychosocial stages outline development across the lifespan.
The treatment team plans care for a person diagnosed with paranoid schizophrenia and cannabis abuse. The person has recently used cannabis daily and is experiencing increased hallucinations and delusions. Which principle applies to care planning?
- A. Consider each diagnosis primary and provide simultaneous treatment.
- B. The person will benefit from treatment in a residential treatment facility.
- C. Withdraw the person from cannabis, and then treat the symptoms of schizophrenia.
- D. Treat the schizophrenia first, and then establish the goals for the treatment of substance abuse.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Dual diagnosis: Simultaneous treatment is crucial as both conditions impact each other.
2. Cannabis withdrawal may worsen schizophrenia symptoms, so treating both concurrently is essential.
3. Addressing both diagnoses concurrently increases treatment effectiveness.
4. Residential treatment may not be necessary at this stage without considering simultaneous treatment.
Summary:
B: Residential treatment may not be needed immediately; focus on simultaneous treatment.
C: Withdrawal may worsen schizophrenia symptoms; treating both conditions concurrently is preferable.
D: Treating schizophrenia first may not address the immediate exacerbation of symptoms due to cannabis use.
The mentally retarded can be gainfully placed in the work in three situations i.e. selfemployment, ----------------employment and open employment:
- A. Sheltered
- B. Protected
- C. Cushy
- D. Comfortable
Correct Answer: A
Rationale: Sheltered employment provides a supportive work setting for those with intellectual disabilities.
What nursing action is important to remember prior to administering Propranolol to a client with anxiety?
- A. Check blood pressure first
- B. Fine hand tremor
- C. Headache
- D. Selective serotonin reuptake inhibitors (SSRIs)
Correct Answer: A
Rationale: Correct Answer: A - Check blood pressure first
Rationale:
1. Propranolol is a beta-blocker used for anxiety and hypertension.
2. Before administering Propranolol, it's crucial to check the client's blood pressure, as it can cause hypotension.
3. Monitoring blood pressure helps prevent adverse effects like dizziness, fainting, or decreased perfusion.
4. Fine hand tremor (B) is a potential side effect of Propranolol, but it's not the priority before administration.
5. Headache (C) can be a side effect of Propranolol but is not the primary concern pre-administration.
6. Selective serotonin reuptake inhibitors (SSRIs) (D) are not directly related to the administration of Propranolol for anxiety.
Which is an important nursing intervention when giving care to a patient withdrawing from a central nervous system (CNS) stimulant?
- A. Make physical contact by frequently touching the patient.
- B. Offer intellectual activities requiring concentration.
- C. Avoid manipulation by denying the patient’s requests.
- D. Observe for depression and suicidal ideation.
Correct Answer: D
Rationale: The correct answer is D because observing for depression and suicidal ideation is crucial when caring for a patient withdrawing from CNS stimulants. Depression and suicidal ideation are common withdrawal symptoms, so monitoring for these signs is essential for the patient's safety. It allows for early intervention and appropriate support to prevent any harm.
Choice A is incorrect as frequent physical contact may not be appropriate and can potentially agitate the patient during withdrawal. Choice B is incorrect as intellectual activities requiring concentration may overwhelm the patient who is already going through withdrawal symptoms. Choice C is incorrect as denying the patient's requests can lead to increased agitation and resistance during withdrawal, which is not conducive to effective care.