What are the warning signs of a hypertensive crisis?
- A. Increased BP
- B. Palpitations
- C. Severe headache
- D. Selective serotonin reuptake inhibitors (SSRIs)
Correct Answer: A
Rationale: The correct answer is A: Increased BP. In a hypertensive crisis, the most prominent warning sign is a sudden and severe increase in blood pressure, which can lead to serious complications such as organ damage or stroke. Palpitations and severe headache may occur as symptoms but are not specific warning signs of a hypertensive crisis. Selective serotonin reuptake inhibitors (SSRIs) are not related to the warning signs of a hypertensive crisis. Thus, increased BP is the most crucial indicator to identify and address promptly.
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An individual is being admitted for psychiatric treatment. The initial role of the nurse regarding this individual's psychopharmacologic therapy is to:
- A. Gather data to create a baseline assessment that includes a medication history.
- B. Assess the individual's understanding of the therapeutic value of his or her current medications.
- C. Evaluate the effectiveness of the medication regime by focusing on the client's current symptoms.
- D. Begin the admission interview in such a manner that will foster a therapeutic nurse-client relationship.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Gathering data to create a baseline assessment is crucial to understanding the individual's medication history and current status.
2. This baseline assessment helps identify potential interactions, allergies, and previous responses to medications.
3. It allows the nurse to make informed decisions regarding the individual's psychopharmacologic therapy.
4. Assessing understanding (B) and evaluating effectiveness (C) are important but come after establishing the baseline assessment.
5. Building a therapeutic relationship (D) is essential but not the initial step in psychopharmacologic therapy.
The theorist who believes in developmental stages is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: D
Rationale: Erik Erikson's eight psychosocial stages outline development across the lifespan.
Which is not a goal of Social Learning Family Interventions?
- A. Developing optimism
- B. Developing independence in living skills
- C. Appreciating the general nature of their situation
- D. Engaging in an active experience of change
Correct Answer: C
Rationale: SLFI focuses on behavioral change, not abstract appreciation of situations.
The theorist who believes in psychosocial stages of development is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: D
Rationale: Erikson's 8 psychosocial stages define development through social conflicts.
Which question has the highest priority when assessing a newly admitted patient with a history of alcohol abuse?
- A. Have you ever had blackouts?'
- B. When did you have your last drink?'
- C. Has drinking caused you any problems?'
- D. When did you decide to seek treatment?'
Correct Answer: B
Rationale: The correct answer is B, "When did you have your last drink?" This question is crucial in assessing the patient's current alcohol intake and potential withdrawal symptoms. Knowing this information helps determine the urgency of medical intervention and monitoring. Choice A focuses on past experiences, not immediate concerns. Choice C is important but does not address the patient's current condition. Choice D is relevant for treatment planning but not as urgent as knowing the last drink time for immediate assessment.
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