Nokea
What are the fundamental concepts of dialectical behavioral therapy (DBT)?
- A. Patients are doing the best they can
- B. Patients are motivated and willing to change
- C. Radical acceptance is essential in therapy
- D. Mindfulness is key to managing emotions
Correct Answer: A
Rationale: The correct answer is A because the fundamental concept of DBT is that patients are doing the best they can. This acknowledges that individuals are trying their best with the skills they currently have. Radical acceptance (C) is a core principle in DBT, but it is not the most fundamental concept. While mindfulness (D) is a key component of DBT, it is not the overarching fundamental concept. Motivation and willingness to change (B) are important in therapy, but the primary focus of DBT is on accepting where the patient is currently at in their journey.
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It has been estimated that 20%, or 45 million, adults ages 18 or older in the United States have experienced a mental illness in the past year. Which nursing intervention is directed toward addressing the greatest barrier to successful treatment outcomes for these individuals?
- A. Educating clients as to the importance of completing their treatment recommendations
- B. Identifying resources where medications can be secured at reduced or no cost
- C. Actively involving the client in the planning of his or her mental health care
- D. Evaluating the client for compliance with his or her plan of care frequently
Correct Answer: A
Rationale: The correct answer is A: Educating clients as to the importance of completing their treatment recommendations. This intervention is crucial because lack of understanding about the importance of completing treatment can lead to non-compliance, which is a significant barrier to successful treatment outcomes. By educating clients, nurses can empower them to take ownership of their health and adhere to their treatment plans.
Choice B is incorrect because while identifying resources for medications is important, it may not address the underlying issue of non-compliance. Choice C, involving the client in planning care, is important but may not directly address non-compliance. Choice D, evaluating compliance frequently, is necessary but does not address the root cause of non-compliance. Therefore, the most effective intervention is to educate clients about the importance of completing their treatment recommendations.
Which of the following barriers to health care may have created health disparities for lesbians in the U.S.?
- A. Homophobia
- B. Lack of insurance
- C. Socioeconomic level
- D. Level of education
Correct Answer: A
Rationale: Homophobia drives disparities by limiting access and comfort in care settings.
The psychological test measure emotional intelligence is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: D
Rationale: The TAT can indirectly assess emotional intelligence through interpersonal themes in stories.
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.
When diet is affected by cultural factors, which in turn significantly impact a patient's health care, which of the following approaches is appropriate?
- A. Recommend immediate cessation of the usual diet and provide a list of prohibited foods
- B. Allow the patient to continue his/her usual diet and adjust medications accordingly
- C. Discuss the underlying cultural factors related to the usual diet and explore options within that paradigm that might be better suited to the patient's health
- D. Suggest that the patient instead see a physician who shares his/her cultural background
Correct Answer: C
Rationale: Discussing cultural factors and options respects traditions while promoting health.