Nokea
What is the most appropriate response when a patient's behavior or comments during an office visit trigger anger or negative emotions in the physician?
- A. Confront the patient immediately
- B. Recognize these emotions and maintain control
- C. Ignore the comments and send in a resident to see the patient
- D. End the visit and schedule a follow-up with another physician
Correct Answer: B
Rationale: Self-awareness and control preserve professionalism and care quality.
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The nurse is collecting data for a patient with suspected exposure to HIV. Which symptoms would be most concerning in this patient?
- A. Tremors, edema, coughing
- B. Fever, diarrhea, sore throat
- C. Urticaria, sneezing, pruritus
- D. Abdominal pain, anorexia, and vomiting
Correct Answer: B
Rationale: The correct answer is B because fever, diarrhea, and sore throat are common symptoms associated with acute HIV infection. Fever is often the first symptom, followed by other flu-like symptoms such as diarrhea and sore throat. These symptoms may indicate an acute retroviral syndrome, which occurs within 2-4 weeks of initial HIV infection. Tremors, edema, coughing (Choice A) are not typical symptoms of acute HIV infection. Urticaria, sneezing, pruritus (Choice C) are more indicative of allergic reactions or other non-HIV related conditions. Abdominal pain, anorexia, vomiting (Choice D) are also not specific to HIV infection.
----in 150 children diagnosed with autism includes the entire spectrum:
- A. 1
- B. 2
- C. 3
- D. 4
Correct Answer: A
Rationale: 1 in 150 children are diagnosed with autism spectrum disorder, per historical prevalence rates.
---theory offers an alternative explanation for group development:
- A. Classic
- B. Social identity
- C. Social exchange
- D. Operant
Correct Answer: B
Rationale: Social identity theory (Tajfel) explains group development via shared identity, contrasting Tuckman.
When a patient requires long-term care, which of the following issues must be addressed by the family and the health care providers?
- A. How the family expects to manage the patient's finances
- B. How the patient and family feel about nursing homes
- C. Which nursing home has doctors or nurses with the same cultural background
- D. Which family member will tell the patient that he/she cannot return home
Correct Answer: B
Rationale: Attitudes toward nursing homes are critical in planning long-term care.
Nursing advocacy directed towards eliminating the stigma attached to mental illness is based on the fact that:
- A. Stigmatization only serves to increase the stress felt by the mentally ill.
- B. No one is immune to mental illness or emotional problems.
- C. Mental illness is often chronic and incurable.
- D. The mentally ill deserve our support.
Correct Answer: B
Rationale: The correct answer is B because it highlights the universal susceptibility to mental illness, emphasizing the importance of advocacy to reduce stigma. Mental health issues can affect anyone regardless of age, gender, or background. By acknowledging this, nurses can advocate for increased understanding and support for those struggling with mental illness.
A: While stigmatization does increase stress, this does not directly explain the basis for nursing advocacy.
C: Mental illness being chronic does not explain the rationale behind advocating to eliminate stigma.
D: While the mentally ill deserve support, this choice does not address the underlying reason for advocacy focused on stigma reduction.