Nokea
When discussing sensitive and personal issues with a patient that may involve significant lifestyle changes and treatment issues, how should the patient's family be involved in this process?
- A. The patient's family should always be actively involved in the conversation
- B. The patient's family is not an important participant in the conversation
- C. The physician should always decide whether or not to include the family based on the patient's wishes
- D. The physician should contact the family prior to speaking with the patient
Correct Answer: C
Rationale: Respecting patient autonomy, family involvement should align with the patient's preferences.
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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.
Your pediatric client weighs 48 pounds. How many mg of a medication would you administer to this client with each dose when the doctor has ordered 5 mg/kg/day in two equally divided doses?
- A. 45 mg
- B. 60 mg
- C. 52 mg
- D. 55 mg
Correct Answer: C
Rationale: 48 lbs = 21.8 kg; 5 mg/kg x 21.8 kg = 109 mg/day; 109 / 2 = 54.5 mg, closest to 52 mg (C).
A parent is admitted to a chemical dependency treatment unit. The patients spouse and adolescent children participate in a family session. What is the most important aspect of this familys assessment?
- A. Spouses codependent behaviors
- B. Interactions among family members
- C. Patients reaction to the familys anger
- D. Childrens responses to the family sessions
Correct Answer: B
Rationale: Interactions among all family members are the raw material for family problem solving. By observing interactions, the nurse can help the family make its own assessments of strengths and deficits. The other options are narrower in scope when compared with the correct option.
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.
Psychotropic medications that block the reuptake of serotonin may result in which of the following side effects?
- A. Dry mouth
- B. Constipation
- C. Blurred vision
- D. Sexual dysfunction
Correct Answer: D
Rationale: Selective serotonin reuptake inhibitors (SSRIs), which block serotonin reuptake, are commonly associated with sexual dysfunction as a side effect, aligning with option d.