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What cardiovascular medication is often introduced for persons suffering from performance anxiety, social phobia, or panic disorder?
- A. Propranolol (Inderal)
- B. Explosive occipital headache
- C. Clonazepam for myoclonus
- D. Course hand tremor
Correct Answer: A
Rationale: Rationale: Propranolol (Inderal) is a beta-blocker commonly used to manage physical symptoms associated with anxiety, such as tremors and rapid heart rate. It is effective for performance anxiety, social phobia, and panic disorder by reducing physiological symptoms without affecting cognitive functions. Other choices like B, C, and D are not indicated for these conditions and do not target the cardiovascular symptoms associated with anxiety.
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Joe, a Native American, appears at the community health clinic with an oozing stasis ulcer on his lower right leg. It is obviously infected, and he tells the nurse that the shaman has been treating it with herbs. The nurse determines that Joe needs emergency care, but Joe states he will not go to the emergency department (ED) unless the shaman is allowed to help treat him. How should the nurse handle this situation?
- A. Contact the shaman and have him meet them at the ED to consult with the attending physician.
- B. Tell Joe that the shaman is not allowed in the ED.
- C. Explain to Joe that the shaman is at fault for his leg being in the condition it is in now.
- D. Have the shaman try to talk Joe into going to the ED without him.
Correct Answer: A
Rationale: Joe's cultural reliance on the shaman for treatment requires the nurse to respect this belief by allowing the shaman's involvement in the ED, ensuring cultural sensitivity and compliance with treatment, aligning with option a.
The nurse is conducting a family assessment. When asked about her children's performance at school, the single mother reported that her oldest, a 10-year-old, 'does OK with schoolwork but doesn't have any interest in being friends with the kids in her school.' To further investigate this situation the nurse asks the:
- A. Child why she doesn't have friends at school.
- B. Mother if her younger children have friends at school.
- C. Child what she does at home after she comes home from school.
- D. Mother to discuss the situation with the child's teacher or school counselor.
Correct Answer: C
Rationale: The correct answer is C because asking the child what she does at home after school can provide insights into her social interactions, interests, and possible reasons for not having friends at school. This approach allows the nurse to understand the child's daily routine, activities, and possible areas for intervention or support.
A: Asking the child directly why she doesn't have friends may not yield accurate information as the child may not be able to articulate her feelings or may not be comfortable discussing the issue openly.
B: Inquiring about the younger children's friendships is not relevant to understanding the oldest child's situation and may not provide meaningful insights.
D: Involving the teacher or counselor without understanding the child's perspective first may not address the underlying reasons for her lack of friends and may not be the most appropriate initial step in the assessment process.
Jenny reported to the high school nurse that her mother drinks too much. She is drunk every afternoon when Jenny gets home from school. Jenny is afraid to invite friends over because of her mother’s behavior. This type of crisis is called:
- A. Crisis resulting from traumatic stress
- B. Maturational/developmental crisis
- C. Dispositional crisis
- D. Crisis reflecting psychopathology
Correct Answer: C
Rationale: The correct answer is C: Dispositional crisis. This type of crisis arises from an external event or stressor that overwhelms an individual's usual coping mechanisms. In this case, Jenny's mother's alcoholism is causing distress and fear for Jenny, impacting her ability to function normally. A is incorrect because traumatic stress typically involves a singular event causing intense emotional response. B is incorrect as maturational crisis relates to normal life transitions. D is incorrect as crisis reflecting psychopathology involves mental health conditions as the primary cause of crisis.
The theorist associated with zone of proximal development is
- A. Jean Piaget
- B. Erik Erikson
- C. Lev Vygotsky
- D. John Dewey
Correct Answer: C
Rationale: Vygotsky's zone of proximal development defines learning potential with guidance.
If it is the right of the patient to decide whom to disclose personal medical information to, how should the physician respond when requested to withhold information about a diagnosis from family members?
- A. Attempt to convince the patient to tell his/her family of their diagnosis
- B. Ignore the patient's request and ask to have a family conference
- C. Accept the patient's wishes without further discussion
- D. Initiate further discussion and help the patient identify a surrogate decision maker
Correct Answer: D
Rationale: Discussion respects autonomy while preparing for future decision-making needs.