Nokea
Two divorced people plan to marry. The man has a teenager, and the woman has a toddler. This family will benefit most from:
- A. role-playing opportunities for conflict resolution regarding discipline.
- B. guidance about parenting children at two developmental levels.
- C. formal teaching about problem-solving skills.
- D. referral to a family therapist.
Correct Answer: B
Rationale: The newly formed family will be coping with tasks associated with the stage of rearing preschool children and teenagers. These stages require different knowledge and skills. There is no evidence of a problem, so the distracters are not indicated.
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The nurse knows the lithium, a naturally-occurring salt that is excreted by the kidneys, has the potential to adversely affect:
- A. Renal function
- B. Thyroid function
- C. ECG
- D. Polyuria
Correct Answer: A
Rationale: The correct answer is A: Renal function. Lithium is excreted by the kidneys, and its accumulation can lead to renal toxicity, affecting renal function. The other choices are incorrect because lithium primarily affects the kidneys, not the thyroid (B), ECG (C), or causes polyuria (D). Lithium toxicity is commonly associated with renal impairment, making A the most appropriate choice.
When providing instructions to a patient who has just been prescribed Isocarboxazid (Marplan), it is important for the nurse to include:
- A. Interactions with other medications
- B. Requires tyramine-free diet: avoid food and drugs that increase norepinephrine levels to prevent hypertensive crisis
- C. Palpitations
- D. Course hand tremor
Correct Answer: A
Rationale: The correct answer is A because Isocarboxazid is an MAOI, which can have dangerous interactions with other medications resulting in serious side effects. It is crucial for the nurse to educate the patient about potential drug interactions to prevent harm. Choice B is incorrect as Isocarboxazid does not require a tyramine-free diet like other MAOIs such as phenelzine. Choices C and D are unrelated side effects of Isocarboxazid and not the key information that needs to be communicated to the patient.
What treatment does a nurse expect to initiate for a depressed patient who is agitated, vomiting, hyperthermic, hyperreflexive, and tachycardic?
- A. Serotonin syndrome: Anticonvulsants for seizures
- B. Clonazepam for myoclonus
- C. Lorazepam for restlessness and agitation
- D. Palpitations
Correct Answer: A
Rationale: The correct answer is A: Serotonin syndrome: Anticonvulsants for seizures. The patient's symptoms of agitation, vomiting, hyperthermia, hyperreflexia, and tachycardia are indicative of serotonin syndrome. Treatment involves stopping the offending medications, supportive care, and in severe cases, anticonvulsants for seizures. Choice B (Clonazepam) is incorrect as it is used for myoclonus, not the main symptoms presented. Choice C (Lorazepam) is incorrect as it is used for restlessness and agitation but not specifically for serotonin syndrome. Choice D (Palpitations) is incorrect as it is a symptom of serotonin syndrome, not a treatment.
The most appropriate nursing intervention with Jenny (from question 5) would be to:
- A. Make arrangements for her to start attending Alateen meetings.
- B. Help her identify the positive things in her life and recognize that her situation could be a lot worse than it is.
- C. Teach her about the effects of alcohol on the body and that it can be hereditary.
- D. Refer her to a psychiatrist for private therapy to learn to deal with her home situation.
Correct Answer: A
Rationale: The correct answer is A because Alateen meetings provide support and understanding for teenagers living with family members struggling with alcoholism. Attending these meetings can help Jenny feel less alone, gain coping strategies, and build a support network with peers in similar situations.
Choice B is incorrect as it minimizes Jenny's struggles and may invalidate her feelings. Choice C focuses on the biological aspect of alcoholism, which may not address Jenny's emotional needs. Choice D involves a referral to a psychiatrist for private therapy, which may not provide the peer support and understanding that Alateen meetings can offer.
Memory for personal events in our life is termed as
- A. Procedural
- B. Semantic
- C. Episodic
- D. Long term memory
Correct Answer: C
Rationale: Episodic memory stores personal experiences (Tulving).