Nokea
When assessing a patient who has ingested flunitrazepam (Rohypnol), the nurse would expect:
- A. acrophobia
- B. hypothermia
- C. hallucinations
- D. anterograde amnesia
Correct Answer: D
Rationale: The correct answer is D: anterograde amnesia. Flunitrazepam is a benzodiazepine known for causing memory loss, specifically anterograde amnesia, where the person has difficulty forming new memories after ingestion. This is due to the drug's effects on the hippocampus and frontal cortex. Acrophobia (fear of heights), hypothermia, and hallucinations are not typically associated with flunitrazepam ingestion. Therefore, D is the expected outcome when assessing a patient who has ingested flunitrazepam.
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he theorist who believes that human behavior is influenced by environment is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: C
Rationale: B.F. Skinner's behaviorism attributes behavior to environmental stimuli.
Which of the following personnel do has the “right to know†medical information?
- A. The facility's Performance Improvement Director who is not a healthcare person and who has no direct contact with clients
- B. A nursing student who is caring for a client under the supervision of the nursing instructor
- C. The facility's Safety Officer who is not a healthcare person and who has no direct contact with clients
- D. A department supervisor with no direct or indirect care duties
Correct Answer: B
Rationale: Personnel without direct client contact generally do not have the 'right to know'.
The psychological test that measures motivation is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: D
Rationale: TAT reveals underlying motives through story responses.
The nurse demonstrates an appropriate use of outcome measurements on a mental health unit when:
- A. Requiring a client's caregiver to attend a discharge planning meeting prior to the client's release to home.
- B. Reassigning a client's activity level based on his demonstration of disregard of appropriate social boundaries.
- C. Providing the client with clean linen according to the schedule established by the facility.
- D. Permitting the son of an Asian-American client to bring some ethnic foods to his father.
Correct Answer: B
Rationale: The correct answer is B because reassigning a client's activity level based on his demonstration of disregard of appropriate social boundaries demonstrates using outcome measurements effectively in mental health care. This shows that the nurse is monitoring the client's behavior and adjusting the care plan accordingly to promote positive outcomes.
A is incorrect because requiring a caregiver to attend a discharge planning meeting does not directly relate to outcome measurements for the client's mental health progress.
C is incorrect because providing clean linen according to a schedule does not demonstrate the use of outcome measurements for mental health assessment and intervention.
D is incorrect because permitting the son to bring ethnic foods does not directly relate to monitoring and adjusting the client's care plan based on observed behaviors.
Piaget proposed cognitive stages.
- A. 4
- B. 6
- C. 5
- D. 8
Correct Answer: A
Rationale: Piaget outlined four stages: sensorimotor, preoperational, concrete operational, and formal operational.