The psychological test that measures projective personality is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. DAT
Correct Answer: A
Rationale: Rorschach uses projective responses to reveal personality.
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People who have high self esteem themselves can generally increase your self esteem because these individuals usually
- A. Respect others
- B. All of these are correct
- C. Give honest feedback
- D. Respect themselves
Correct Answer: B
Rationale: High self-esteem individuals boost others through respect and honesty.
A patient admitted yesterday for injuries sustained while intoxicated believes the window blinds are snakes trying to get into the room. The patient is anxious, agitated, and diaphoretic. Which medication can the nurse anticipate the health care provider will prescribe?
- A. Monoamine oxidase inhibitor, such as phenelzine (Nardil)
- B. Phenothiazine, such as thioridazine (Mellaril)
- C. Benzodiazepine, such as lorazepam (Ativan)
- D. Narcotic analgesic, such as morphine
Correct Answer: C
Rationale: The correct medication to anticipate for this patient is a benzodiazepine, such as lorazepam (Ativan).
Rationale:
1. Benzodiazepines are commonly used to treat acute agitation and anxiety in patients, which is present in this case.
2. Lorazepam has a rapid onset of action and can help calm the patient quickly.
3. It can help manage the patient's perception of the window blinds as snakes and reduce agitation.
4. Benzodiazepines are safer for patients with alcohol intoxication compared to other sedatives or antipsychotics.
Summary of Incorrect Choices:
A: Monoamine oxidase inhibitors are not typically used for acute agitation and anxiety. They have a slower onset of action and are not first-line for this situation.
B: Phenothiazines may worsen the patient's condition due to their potential side effects like sedation and hypotension.
D: Narcotic analgesics are not appropriate for managing anxiety or agitation
A patient who has HIV asks the nurse why blood work has to be done so frequently. Which response should the nurse make to the patient?
- A. B-lymphocyte levels increase if you have an acute infection.'
- B. Phagocytes are decreased when the disease is in an active phase.'
- C. Neutrophil counts help the doctor titrate medication levels to keep you healthy.'
- D. CD4+ lymphocyte counts are monitored to determine the progression of the disease.'
Correct Answer: D
Rationale: The correct answer is D because monitoring CD4+ lymphocyte counts is crucial in managing HIV. CD4+ cells are the primary target of the HIV virus, and their count reflects the status of the immune system and disease progression. By tracking CD4+ levels, healthcare providers can determine the need for antiretroviral therapy and assess the effectiveness of treatment.
Choice A is incorrect because B-lymphocytes are not typically used to monitor HIV progression. Choice B is incorrect as phagocytes are not specifically related to HIV disease progression. Choice C is incorrect as neutrophils are not the primary indicator for managing HIV.
After taking the medical history of a patient, which of the following approaches would be most effective in eliciting the need to address personal health issues?
- A. Warn the patient of long-term consequences
- B. Implement a plan of action immediately
- C. Share opinions about the patient's ability to problem solve
- D. Consult family members in the decision-making process
Correct Answer: C
Rationale: Sharing opinions invites patient reflection and engagement.
Which of the following terms is used to describe the sound, timely, smooth, unfragmented and seamless transition of the client from one level of acuity to another?
- A. Case management
- B. Continuity of care
- C. Medical necessity
- D. Critical pathway
Correct Answer: B
Rationale: Continuity of care emphasizes smooth transitions across levels of care.