Nokea
When an older adult diagnosed with depression reports that she has been taking over-the-counter (OTC) melatonin, the nurse asks:
- A. Are you experiencing difficulty with remembering things?'
- B. Have you been having trouble sleeping?'
- C. Is anxiety a problem for you as well?'
- D. Are you trying to lose weight?'
Correct Answer: B
Rationale: The correct answer is B: "Have you been having trouble sleeping?" This is the correct question because melatonin is commonly used as a sleep aid. The nurse should inquire about the patient's sleep patterns to assess the effectiveness of melatonin and potential side effects related to sleep. Choices A, C, and D are incorrect as they do not directly relate to the use of melatonin as a sleep aid in older adults with depression. Asking about memory, anxiety, or weight loss is not as relevant in this context.
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contribute(s) to homeostasis by selfregulation and helps to maintain the stability of relationships.
- A. Open systems
- B. Closed systems
- C. Negative feedback
- D. Positive feedback
Correct Answer: C
Rationale: Negative feedback stabilizes systems by counteracting deviations.
Which of the following physician barriers can affect a patient's adherence?
- A. Lack of insight into the patient's illness
- B. Inadequate explanation of instructions
- C. Cost of medications or treatment
- D. Distraction by other life issues or priorities
Correct Answer: B
Rationale: Clear instructions are critical for adherence; inadequate explanations often lead to misunderstanding and non-compliance.
A widow grieving her husbands sudden death tells the nurse, Im not feeling well. Yesterday, I saw my husband walk through the door, stop, and smile at me. Then he just faded away. Which is the nurses most appropriate action?
- A. Assess for recent substance abuse.
- B. Suggest a referral to the mental health clinic.
- C. Arrange for an evaluation for antidepressant medication.
- D. Counsel the widow that visualizations are a normal part of grieving.
Correct Answer: D
Rationale: Grieving patients often dream about, visualize, think about, or search for the lost loved one. The patient should be told that this is considered a normal phenomenon and not a sign of mental illness. Visualization does not suggest substance abuse or mental illness in this case.
The nuclear family means
- A. Two generation unit of parents and their children
- B. A group of people sharing living accommodation and meals
- C. Network of relatives extended with or between generations
- D. The new family created when an adult leaves home and gets married
Correct Answer: A
Rationale: The nuclear family is parents and children, a two-generation unit.
The nurse is engaging in patient- and family-centered care most effectively when:
- A. Including a client's homosexual partner in the discussion regarding discharge planning.
- B. Allowing a client admitted for acute psychiatric care to be visited by family members.
- C. Helping a cognitively impaired client call his parents who live out of state.
- D. Volunteering at a clinic that provides free services to clients of all ages.
Correct Answer: A
Rationale: The correct answer is A because including a client's homosexual partner in discharge planning demonstrates respect for the client's relationships and values, promoting inclusivity and support. This aligns with patient- and family-centered care principles. Choice B is incorrect as it focuses on visitation rights rather than involving the family in care decisions. Choice C involves the nurse facilitating communication but does not necessarily demonstrate partnership with the client's support system. Choice D, while commendable, does not directly relate to individualized care for a specific patient and their family.