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What common side effects would the nurse inform a patient of who has just been prescribed Celexa?
- A. Gastrointestinal disturbances
- B. Sexual dysfunction
- C. Thyroid function
- D. Tachycardia
Correct Answer: A
Rationale: The correct answer is A: Gastrointestinal disturbances. Celexa (citalopram) is known to commonly cause gastrointestinal side effects such as nausea, diarrhea, and indigestion. This is important for the nurse to inform the patient about to manage expectations and potential discomfort. Choices B, C, and D are incorrect because sexual dysfunction, thyroid function, and tachycardia are not common side effects associated with Celexa. Overall, it is crucial for the nurse to educate the patient on the most common side effects to ensure proper monitoring and management.
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A nurse worked at a hospital for several months, resigned, and then took a position at another hospital. In the new position, the nurse often volunteers to be the medication nurse. After several serious medication errors, an investigation reveals that the nurse was diverting patient narcotics for self-use. What early indicator of the nurse’s drug use was evident?
- A. Accepting responsibility for medication errors.
- B. Seeking to be assigned as the medication nurse.
- C. Frequent complaints of physical pain.
- D. High sociability with peers.
Correct Answer: B
Rationale: The correct answer is B: Seeking to be assigned as the medication nurse. This behavior is an early indicator of drug use because it provides the nurse with easier access to narcotics, which they may be seeking for self-use. By actively seeking out this responsibility, the nurse may have ulterior motives related to drug diversion.
Choice A is incorrect because accepting responsibility for medication errors is a common behavior among healthcare professionals and does not necessarily indicate drug use. Choice C, frequent complaints of physical pain, is also incorrect as it could be related to various health issues and not specifically drug use. Choice D, high sociability with peers, is not a direct indicator of drug use and does not provide any evidence of potential drug diversion.
In this stage the group is likely to see the highest level of disagreement and conflict:
- A. Forming
- B. Storming
- C. Norming
- D. Performing
Correct Answer: B
Rationale: Storming (Tuckman) involves conflict as roles and dynamics are negotiated.
A grieving patient tells a nurse, Its been eight months since my spouse died. I thought I would feel better by now, but lately I feel worse. I have no energy. I am lonely, but I dont want to be around people. What should I do? What is the nurses best counsel?
- A. Seek psychotherapy.
- B. Become active in a church.
- C. Go to the spouses grave every day.
- D. Understand this is a normal response.
Correct Answer: D
Rationale: The patient needs understanding and support that the feelings are normal. Although feelings of depression generally decline over the period of a year after the death of a loved one, the decline is not linear. Loneliness and aimlessness are most pronounced 6 to 9 months after the death. The patient should be educated about normal phenomena experienced during bereavement. The other options are not clearly indicated.
How many things in common nearly all good days:
- A. Two
- B. Three
- C. Four
- D. Five
Correct Answer: B
Rationale: Lyubomirsky suggests 3 common elements (e.g., positivity, connection, achievement) for good days.
he theorist who believes that human have purpose is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: B
Rationale: Carl Rogers' humanistic theory sees humans as purpose-driven toward growth.