Nokea
When questioning a patient about his/her alcohol intake, which of the following approaches is most effective?
- A. Frame the question in terms of the patient's ethnicity
- B. Explain that these questions are always part of a routine social history
- C. Joke with the patient about your own alcohol intake
- D. Tell the patient that alcohol is part of everyday life
Correct Answer: B
Rationale: Normalizing the question as routine reduces stigma and encourages honesty.
You may also like to solve these questions
The theorist associated with personality development is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: D
Rationale: Erik Erikson's psychosocial stages focus on personality development through social crises.
Nurse Jones decides to tell the client of his terminal status because she believes it is her duty to do so. Which of the following ethical theories is considered in this decision?
- A. Natural law theories
- B. Ethical egoism
- C. Kantianism
- D. Utilitarianism
Correct Answer: C
Rationale: Nurse Jones acts out of a sense of duty, which reflects Kantianism's focus on moral obligations and duty-based ethics, aligning with option c.
Which question has the highest priority when assessing a newly admitted patient with a history of alcohol abuse?
- A. Have you ever had blackouts?'
- B. When did you have your last drink?'
- C. Has drinking caused you any problems?'
- D. When did you decide to seek treatment?'
Correct Answer: B
Rationale: The correct answer is B, "When did you have your last drink?" This question is crucial in assessing the patient's current alcohol intake and potential withdrawal symptoms. Knowing this information helps determine the urgency of medical intervention and monitoring. Choice A focuses on past experiences, not immediate concerns. Choice C is important but does not address the patient's current condition. Choice D is relevant for treatment planning but not as urgent as knowing the last drink time for immediate assessment.
The role of Primary care physician's in the treatment of mental illnesses in the community is deemed:
- A. More costly.
- B. Less convenient.
- C. Only for continuing the care of follow-up or discharged cases.
- D. Ideal for detecting and treating early illnesses.
Correct Answer: D
Rationale: PCPs are well-placed to detect and treat mental illnesses early due to their accessibility and ongoing patient relationships.
Which of the following security concerns is also a sentinel event that must be reported?
- A. A possible vulnerability of the facility's information technology to hacking
- B. The assisted suicide of a client in your facility by the spouse of the client
- C. Vulnerability to computer hacking
- D. Potential information theft
Correct Answer: B
Rationale: Assisted suicide is a sentinel event requiring reporting.