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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Which nursing intervention best builds a therapeutic nurse-client relationship?
- A. Actively listening as the client expresses his or her thoughts and feelings
- B. Intervening when the client begins to state beliefs that come from his or her illness
- C. Evaluating a client's behaviors and interpersonal relationships frequently to identify stressors
- D. Passively allowing the client to control the communication and tone of the discussions
Correct Answer: A
Rationale: The correct answer is A because actively listening allows the nurse to show empathy, understanding, and respect towards the client, which are essential for building a therapeutic relationship. By actively listening, the nurse can demonstrate genuine interest in the client's thoughts and feelings, fostering trust and rapport.
Choice B is incorrect as intervening when the client expresses beliefs from their illness may disrupt the client's expression and hinder the development of trust.
Choice C is incorrect because evaluating behaviors and relationships may create a sense of judgment and lack of privacy, which can be detrimental to the therapeutic relationship.
Choice D is incorrect because passively allowing the client to control communication may lead to a lack of direction and boundaries, potentially hindering effective communication and rapport-building.
The Tuskegee Syphilis Study has had which of the following effects on the African American community?
- A. Greater suspicion and reluctance about participating in research studies
- B. Less use of complementary or alternative medical treatments
- C. Greater compliance with prescription medications
- D. Increased testing for syphilis and other sexually transmitted diseases
Correct Answer: A
Rationale: Tuskegee fostered deep mistrust in medical research among African Americans.
A client has been voluntarily admitted to a mental health unit for treatment of acute depression. Which client request will the nurse deny based on this type of commitment?
- A. Notifying his wife to bring him his personal cell phone
- B. Arranging for him to cast his absentee vote for a city election
- C. Mailing out his driver's license renewal form as a registered letter
- D. Arranging for a private space where he can meet with his attorney
Correct Answer: A
Rationale: The correct answer is A because in a voluntary admission for acute depression, the client retains their basic rights, such as making personal phone calls. However, the nurse may deny the request to have the personal cell phone brought in due to concerns about safety, privacy, and potential access to harmful content. Choice B is incorrect as the client has the right to participate in civic activities like casting a vote. Choice C is incorrect as it involves maintaining personal documentation. Choice D is incorrect as the client has the right to meet with their attorney in a private space.
Which of the following factors might lead the parents of a Muslim or Arab adolescent patient to initially delay or refuse chemotherapy?
- A. Belief related to Islam
- B. Superstitions about chemotherapy in Arab culture
- C. Desire to consult with extended family members and/or Imam first
- D. Higher prevalence of chemotherapy-related complications among Arabs
Correct Answer: C
Rationale: Consulting family and religious leaders is common in Arab culture for major medical decisions.
The introductory section of a research report should aim to:
- A. Identify the specific focus of the study
- B. Provide a rationale for the dissertation, or article
- C. Grab the reader's attention
- D. All of the them
Correct Answer: D
Rationale: The introduction should focus the study, justify it, and engage readers, per APA guidelines.