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When providing instructions to a patient who has just been prescribed Isocarboxazid (Marplan), it is important for the nurse to include:
- A. Interactions with other medications
- B. Requires tyramine-free diet: avoid food and drugs that increase norepinephrine levels to prevent hypertensive crisis
- C. Palpitations
- D. Course hand tremor
Correct Answer: A
Rationale: The correct answer is A because Isocarboxazid is an MAOI, which can have dangerous interactions with other medications resulting in serious side effects. It is crucial for the nurse to educate the patient about potential drug interactions to prevent harm. Choice B is incorrect as Isocarboxazid does not require a tyramine-free diet like other MAOIs such as phenelzine. Choices C and D are unrelated side effects of Isocarboxazid and not the key information that needs to be communicated to the patient.
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In which stage of life is fantasy stage:
- A. 3-7 years
- B. 6-11 years
- C. 12-18 years
- D. 21-28 years
Correct Answer: B
Rationale: The fantasy stage (career development, Ginzberg) occurs around 6-11 years, marked by imaginative career ideas.
The theorist associated with psychosocial development is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: D
Rationale: Erik Erikson's psychosocial theory outlines eight stages of development.
Mr. and Mrs. Smith and their three children (ages 5, 8, and 10) are in therapy with the nurse psychotherapist. Mrs. Smith tells the nurse that their marriage has been 'falling apart' since the birth of their youngest child, Tom. She explains that they 'did not want a third child, and I became pregnant even after my husband had undergone a vasectomy. We were very angry, the pregnancy was a problematic one, and the child has been difficult since birth. We had problems before he was born, but since Tom was born, things have gone from bad to worse. No one can control him, and he is wrecking our family!' The nurse assesses that which of the following may be occurring in this family?
- A. Scapegoating
- B. Triangling
- C. Disengagement
- D. Enmeshment
Correct Answer: A
Rationale: The correct answer is A: Scapegoating. Scapegoating occurs when one family member is blamed for the family's issues. In this case, Tom, the youngest child, is being blamed for the family's problems since his birth. Mrs. Smith explicitly states that they did not want a third child and that Tom has been difficult since birth. By blaming Tom for the family's issues, the family is using him as a scapegoat to avoid addressing their underlying problems. This behavior can negatively impact Tom's self-esteem and create further dysfunction within the family dynamics.
Incorrect Choices:
B: Triangling involves involving a third person in a conflict to avoid directly addressing the issue. While the family dynamics may involve triangulation, the primary issue here is scapegoating.
C: Disengagement refers to emotional withdrawal and lack of involvement in family dynamics. This does not align with the scenario provided.
D: Enmeshment is when boundaries between family members are blurred, leading to a
After taking the medical history of a patient, which of the following approaches would be most effective in eliciting the need to address personal health issues?
- A. Warn the patient of long-term consequences
- B. Implement a plan of action immediately
- C. Share opinions about the patient's ability to problem solve
- D. Consult family members in the decision-making process
Correct Answer: C
Rationale: Sharing opinions invites patient reflection and engagement.
Which of the following factors is most likely to contribute to the minimization of the significance of a patient's symptoms by a health care provider?
- A. Middle age
- B. Female gender
- C. High income
- D. Caucasian race
Correct Answer: B
Rationale: Female gender is often linked to symptom minimization due to bias.