Nokea
The psychological test measure mental health is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: B
Rationale: The MMPI is widely used to assess mental health and diagnose disorders.
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An adult in the emergency department states, 'I feel restless. Everything I look at wavers. Sometimes I’m outside my body looking at myself. I hear colors. I think I’m losing my mind.' Vital signs are slightly elevated. The nurse should suspect a(n):
- A. schizophrenic episode
- B. cocaine overdose
- C. phencyclidine (PCP) intoxication
- D. D-lysergic acid diethylamide (LSD) ingestion
Correct Answer: D
Rationale: The correct answer is D, D-lysergic acid diethylamide (LSD) ingestion. LSD causes visual disturbances, dissociation, heightened sensory perceptions, and altered sense of reality, matching the client's symptoms. Vital signs being slightly elevated are consistent with LSD use. Schizophrenic episodes (A) involve long-term symptoms, not acute onset. Cocaine overdose (B) would present with more severe vital sign changes. PCP intoxication (C) typically causes aggression and hallucinations, not the described symptoms.
Which somatic therapy requires a medical evaluation, review or prior care by two psychiatrists and the need to be recommended for this therapy, informed consent, and can be appropriate for clients who are pregnant?
- A. Electroconvulsive therapy (ECT)
- B. Transcranial Magnetic Stimulation (TMS)
- C. Deep Brain Stimulation (DBS)
- D. Vagus Nerve Stimulation (VNS)
Correct Answer: A
Rationale: The correct answer is A: Electroconvulsive therapy (ECT). ECT is a somatic therapy that requires a thorough medical evaluation and review by two psychiatrists to determine its appropriateness. It also necessitates being recommended for this therapy, obtaining informed consent, and can be considered safe for pregnant clients. The other choices, B, C, and D, do not require the same level of medical evaluation, review, or recommendation by two psychiatrists. They also may not be considered safe for pregnant individuals, making them less appropriate in this scenario.
What class of pharmaceuticals enhances GABA to calm the brain, producing an inhibitory response?
- A. Benzodiazepines
- B. I can discontinue this medication immediately when I stop feeling depressed
- C. Imipramine (Tofranil)
- D. Palpitations
Correct Answer: A
Rationale: The correct answer is A: Benzodiazepines. Benzodiazepines enhance GABA activity, which is an inhibitory neurotransmitter in the brain, leading to a calming effect. This class of drugs is commonly used to treat anxiety and insomnia.
Explanation for why other choices are incorrect:
B: This choice is incorrect because it refers to discontinuing medication when not feeling depressed, which is unrelated to enhancing GABA activity.
C: Imipramine is a tricyclic antidepressant that works by affecting serotonin and norepinephrine levels, not GABA.
D: Palpitations are a symptom of anxiety or cardiac issues, not related to enhancing GABA activity.
Which action by a nurse on the psychiatric nursing unit best supports effective use of evidence-based practice on the unit?
- A. Asking that the nurse manager arrange for a subscription to an evidence-based nursing journal to be included in the unit's yearly budget
- B. Suggesting that the unit staff take part in a research study that involves care of the newly diagnosed obsessive-compulsive client
- C. Recommending changes to a client's care plan based on information provided from randomized controlled research trials
- D. Volunteering to recruit clients for a unit-based research project that focuses on the abused teenage client
Correct Answer: C
Rationale: The correct answer is C because recommending changes to a client's care plan based on information from randomized controlled research trials directly aligns with evidence-based practice. This action involves using the best available evidence to inform and improve client care, which is a key principle of evidence-based practice. By utilizing research trials, the nurse ensures that interventions are based on proven effectiveness rather than assumptions or personal beliefs.
Option A is incorrect because subscribing to a journal alone does not guarantee application of evidence-based practice. Option B involves participation in a research study, which may not directly translate to immediate improvement in client care. Option D focuses on recruiting clients for a research project rather than directly applying evidence to individual client care plans.
Family is a group defined by sexual relationship, sufficiently precise and enduring to provide for the procreation and upbringing of children:
- A. Skinner
- B. Steffen
- C. Maclver
- D. Einstein
Correct Answer: C
Rationale: MacIver, a sociologist, defined family by its reproductive and nurturing roles.