Nokea
What class of pharmaceuticals enhances GABA to calm the brain, producing an inhibitory response?
- A. Benzodiazepines
- B. I can discontinue this medication immediately when I stop feeling depressed
- C. Imipramine (Tofranil)
- D. Palpitations
Correct Answer: A
Rationale: The correct answer is A: Benzodiazepines. Benzodiazepines enhance GABA activity, which is an inhibitory neurotransmitter in the brain, leading to a calming effect. This class of drugs is commonly used to treat anxiety and insomnia.
Explanation for why other choices are incorrect:
B: This choice is incorrect because it refers to discontinuing medication when not feeling depressed, which is unrelated to enhancing GABA activity.
C: Imipramine is a tricyclic antidepressant that works by affecting serotonin and norepinephrine levels, not GABA.
D: Palpitations are a symptom of anxiety or cardiac issues, not related to enhancing GABA activity.
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Which statement made by a client demonstrates a prominent behavior related to noncompliance with prescribed treatment?
- A. I broke my hip last fall and it's still hard to get around.'
- B. I have type 2 diabetes but I can still eat the way I always have.'
- C. Weight has been a problem I've struggled with my entire adult life.'
- D. My wife says I need to exercise if I'm ever going to get my blood pressure down.'
Correct Answer: B
Rationale: The correct answer is B because the client's statement indicates a lack of adherence to prescribed treatment for type 2 diabetes, which typically includes dietary modifications. The client's belief that they can continue eating the same way shows a resistance to making necessary lifestyle changes. Choices A, C, and D do not directly relate to noncompliance with prescribed treatment but rather reflect challenges or concerns related to health issues.
You are a registered nurse who is performing the role of a case manager in your hospital. You have been asked to present a class to newly employed nurses about your role, your responsibilities and how they can collaborate with you as the case manager. Which of the following is a primary case management responsibility associated with reimbursement that you should you include in this class?
- A. The case manager's role in terms of organization wide performance improvement activities
- B. The case manager's role in terms complete, timely and accurate documentation
- C. The case manager's role in terms of the clients' being at the appropriate level of care
- D. The case manager's role in terms of contesting denied reimbursements
Correct Answer: B
Rationale: Accurate documentation directly impacts reimbursement processes.
To minimize the risk of injury during an electroconvulsive therapy (ECT) treatment, the nurse:
- A. Times the seizure so it will not last more than 60 seconds.
- B. Monitors the client's electroencephalogram (EEG) for changes in wave patterns.
- C. Inserts a bite-block into the client's mouth prior to the delivery of the electrical stimulus.
- D. Applies a cuff to the client's ankle to facilitate monitoring of blood pressure during the seizure.
Correct Answer: C
Rationale: Correct Answer: C
Rationale: Inserting a bite-block into the client's mouth prior to the delivery of the electrical stimulus helps prevent the client from biting down on their tongue or injuring their teeth during the seizure. This is crucial for minimizing the risk of injury during ECT treatment.
Incorrect Choices:
A: Timing the seizure to not last more than 60 seconds is not directly related to minimizing the risk of injury during ECT treatment.
B: Monitoring the client's EEG for changes in wave patterns is important for assessing the effectiveness of the treatment but does not directly minimize the risk of injury.
D: Applying a cuff to the client's ankle for blood pressure monitoring is important for general monitoring but does not directly address the risk of injury during the seizure.
The mental health nurse is about to conduct an admissions interview with an older adult being admitted for depression. Which action demonstrates an understanding of the appropriate integration of the mental health status examination into an assessment interview?
- A. Conducting the interview in a quiet, private location
- B. Informing the client that his mental health status will be assessed
- C. Asking the mental health assessment questions at the beginning of the interview
- D. Including mental health questions among the general assessment interview questions
Correct Answer: D
Rationale: The correct answer is D because integrating mental health questions among general assessment questions allows for a holistic understanding of the client's overall health. By including mental health questions throughout the interview, the nurse can gather information in a more natural and comprehensive manner. This approach helps in establishing a rapport with the client and avoids stigmatizing mental health issues. Conducting the interview in a quiet, private location (choice A) is important for confidentiality but does not specifically address the integration of mental health questions. Informing the client about the mental health assessment (choice B) is essential for informed consent but does not address the integration aspect. Asking mental health questions at the beginning of the interview (choice C) may disrupt the flow and rapport-building process. Thus, choice D is the most appropriate for a comprehensive assessment.
It is an arrangement according to a systematic division into categories or groups:
- A. Classification
- B. Prediction
- C. Selection
- D. Evaluation
Correct Answer: A
Rationale: Classification organizes items systematically into categories or groups.