Nokea
The psychosexual stage associated with fixation is
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: B
Rationale: The anal stage is often linked to fixation (e.g., anal-retentive traits) if unresolved (Freud).
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You are caring for a client who has a doctor's order for 1200 mLs of intravenous fluid every 8 hours. Your shift began at 8 am and there were $600 \mathrm{mLs}$ remaining in the intravenous fluid bag. How many mLs would you expect to see at 12 noon?
- A. 0 mL
- B. 5 mL
- C. 10 mL
- D. 7.5 mL
Correct Answer: A
Rationale: 1200 mL / 8 hr = 150 mL/hr; 4 hr (8 am-12 pm) x 150 mL/hr = 600 mL; 600 mL - 600 mL = 0 mL (A).
Which medication is the nurse most likely to see prescribed as part of the treatment plan for both a patient in an alcoholism treatment program and a patient in a program for the treatment of opioid addiction?
- A. methadone (Dolophine)
- B. bromocriptine (Parlodel)
- C. disulfiram (Antabuse)
- D. naltrexone (Revia)
Correct Answer: D
Rationale: Rationale: Naltrexone (Revia) is the correct answer because it is commonly prescribed for both alcoholism and opioid addiction. It works by blocking the effects of opioids and alcohol in the brain, reducing cravings and helping with relapse prevention. Methadone (A) is primarily used for opioid addiction, while bromocriptine (B) is not commonly used for addiction treatment. Disulfiram (C) is specifically for alcoholism and works by causing unpleasant effects if alcohol is consumed.
A family has presented at a community mental health clinic. The mother reports that the children ages 8 and 10 are 'not doing well since their father died three months ago.' The nurse demonstrates an understanding of the goals of a family mental health assessment when initially:
- A. Assessing the mother's ability to provide physical care for her children.
- B. Encouraging the mother to discuss the problems with the children's teachers.
- C. Observing how the children interact with both their mother and with each other.
- D. Arranging for the family members to attend age-appropriate grief management groups.
Correct Answer: D
Rationale: The correct answer is D because arranging for the family members to attend age-appropriate grief management groups aligns with the goal of assessing and addressing the family's mental health needs following a significant loss. This approach recognizes the impact of the father's death on the children and the mother, providing them with support and coping strategies. It acknowledges the importance of addressing grief and promoting healthy coping mechanisms within the family unit.
Choices A, B, and C are incorrect because they do not directly address the family's mental health needs in the context of grief and loss. Assessing the mother's ability to provide physical care, encouraging discussions with teachers, and observing interactions are important but do not specifically target the emotional and psychological impact of the father's death on the family.
is a set of observable and measurable actions.
- A. Emotions
- B. Thoughts
- C. Behaviour
- D. Attitude
Correct Answer: C
Rationale: Behavior refers to observable, measurable actions, distinguishing it from internal states like emotions.
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