Nokea
What is important to note about Divalproex (Depakote)?
- A. Can be toxic to liver
- B. Lethal in overdose
- C. contraindicated in first trimester of pregnancy
- D. Palpitations
Correct Answer: A
Rationale: The correct answer is A because Divalproex (Depakote) can be toxic to the liver. This is important to note as it can lead to liver damage and liver function tests should be monitored regularly. Choice B, lethal in overdose, is incorrect as while overdose can be serious, it is not specifically lethal. Choice C, contraindicated in the first trimester of pregnancy, is also incorrect as Divalproex is actually known to be used for certain seizure disorders during pregnancy. Choice D, palpitations, is unrelated to the medication's primary side effects.
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Which of the following Hispanic groups have the highest prevalence and mortality rates of asthma compared to the others?
- A. Mexican Americans
- B. Dominican Americans
- C. Puerto Rican Americans
- D. Cuban Americans
Correct Answer: C
Rationale: Puerto Rican Americans show the highest asthma burden among Hispanics.
When could ministers or elders from the religious community play a role in patient care?
- A. Only when the patient is put under hospice care
- B. At the request of the patient or family member
- C. At the request of the physician
- D. When their involvement is welcome by the patient and their family
Correct Answer: D
Rationale: Welcomed involvement respects patient and family preferences.
What differentiates the Psychiatric-Mental Health Registered Nurse (RN-PMH) from the Psychiatric-Mental Health Advanced Practice Registered Nurse (APRN-PMH)?
- A. Only the APRN-PMH is responsible for milieu management.
- B. The APRN-PMH exercises a greater degree of autonomy when providing care.
- C. Only the RN-PMH provides medication education to the client.
- D. The RN-PMH has less experience working with the mentally ill.
Correct Answer: B
Rationale: The correct answer is B: The APRN-PMH exercises a greater degree of autonomy when providing care. This is because an Advanced Practice Registered Nurse (APRN-PMH) has advanced education and training, allowing them to diagnose, prescribe medications, and provide comprehensive psychiatric care independently. This higher level of autonomy distinguishes them from Registered Nurses (RN-PMH) who work under the supervision of APRNs or physicians.
Incorrect choices:
A: Only the APRN-PMH is responsible for milieu management - Incorrect, as RN-PMH can also be responsible for milieu management in psychiatric settings.
C: Only the RN-PMH provides medication education to the client - Incorrect, as APRN-PMH can also provide medication education.
D: The RN-PMH has less experience working with the mentally ill - Incorrect, as experience levels can vary among individuals regardless of their title as RN-PMH or APRN-PMH.
The theorist associated with attachment theory is
- A. Sigmund Freud
- B. John Bowlby
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: B
Rationale: Bowlby's attachment theory focuses on early caregiver bonds.
The problems of neglectful or level 1 families tend to be temporary, not long term
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Level 1 family issues, like neglect, are often chronic due to systemic and structural factors.