When a patient does not return for follow-up after several years, what is the most appropriate response if and when he/she does return for medical care?
- A. Confront the patient for not following up
- B. Express disappointment to the patient for not following up
- C. Thank the patient for returning and remain supportive
- D. Refuse to see the patient
Correct Answer: C
Rationale: Supportive re-engagement encourages ongoing care without judgment.
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In order to become political advocates for the mentally ill, psychiatric nurses must first:
- A. Be willing to learn the legislative and regulatory processes at both the federal and state levels.
- B. Recognize the need to work in partnership with the American Medical Association.
- C. Be willing to put aside differences and unite for a common mental health cause.
- D. Recognize the value of their understanding of the needs of the mentally ill.
Correct Answer: D
Rationale: The correct answer is D because psychiatric nurses must understand the unique needs of the mentally ill to effectively advocate for them. By recognizing the value of their understanding, nurses can tailor their advocacy efforts to address these specific needs. Choice A is incorrect as legislative knowledge is important but not the primary requirement. Choice B is incorrect as partnership with the AMA is not necessary for advocacy. Choice C is incorrect as unity alone is not sufficient without a clear understanding of the mental health issues.
Which experiencing actually increases our chances of success:
- A. Attitude
- B. Style
- C. Personality
- D. Positive emotions
Correct Answer: D
Rationale: Positive emotions (Fredrickson's broaden-and-build) enhance success by expanding resources.
The psychological test measure problem solving is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: C
Rationale: The WAIS includes subtests like block design that measure problem-solving ability.
Causes of in elderly include loneliness and isolation.
- A. Stress
- B. Depression
- C. Anxiety
- D. Anemia
Correct Answer: B
Rationale: Depression in the elderly is commonly linked to loneliness and isolation, per psychological research.
The nurse is reviewing laboratory results for a patient who has HIV. Which result would be strongly suggestive of a diagnosis of AIDS?
- A. CD4+ = 180/μL
- B. CD4+ percentage = 68%
- C. CD8+ = 650/μL
- D. CD4+/CD8+ ratio = 1.5
Correct Answer: A
Rationale: The correct answer is A because a CD4+ count of 180/μL is significantly below the normal range (500-1500/μL) and indicative of severe immunosuppression, which is a hallmark of AIDS. CD4+ percentage alone (choice B) may not provide the full picture. CD8+ count (choice C) doesn't directly indicate immune system status in HIV/AIDS. The CD4+/CD8+ ratio (choice D) may be altered in various conditions, not specific to AIDS.
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