When seeing an underage child with a parent who does not speak English, which approach would have the greatest positive impact on adherence?
- A. Using a trained medical interpreter
- B. Providing bilingual medical pamphlets for the patient
- C. Giving verbal instructions directly to the patient
- D. Providing written instructions for medications
Correct Answer: A
Rationale: A trained interpreter ensures accurate communication with the parent.
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A patient has smoked two packs of cigarettes daily for many years. When the patient does not smoke or tries to cut back, anxiety, craving, poor concentration, and headache result. What does this scenario describe?
- A. Substance abuse
- B. Substance intoxication
- C. Substance dependence
- D. Recreational use of a social drug
Correct Answer: C
Rationale: The correct answer is C: Substance dependence. This scenario describes a pattern of symptoms indicative of substance dependence, which includes tolerance, withdrawal symptoms when trying to cut back, unsuccessful attempts to quit, and continued use despite negative consequences. The patient's reliance on cigarettes to manage anxiety, craving, poor concentration, and headache indicates a psychological and physical dependence on nicotine.
A: Substance abuse typically involves harmful use of a substance but does not necessarily include physiological dependence.
B: Substance intoxication refers to the immediate effects of a substance in the body, not the long-term pattern of dependence.
D: Recreational use of a social drug implies occasional and non-regular use, which does not align with the described scenario of chronic, daily smoking leading to withdrawal symptoms.
In Abraham Maslows hierarchy of needs, the level for survival is also known as the level of
- A. physiological needs
- B. safety and security
- C. love and belonging
- D. self-esteem
Correct Answer: A
Rationale: The physiological level of needs consists of what a person needs to survive: food, water, oxygen, clothing, ability to eliminate, and sexual activity for procreation.
Which of the following statements is correct regarding identifying patients at risk for HIV infection?
- A. All patients should be considered as being at risk for HIV infection
- B. Only homosexual patients should be considered at risk for HIV infection
- C. Only patients who use intravenous drugs should be considered at risk for HIV infection
- D. A monogamous heterosexual woman is not considered at risk for HIV infection
Correct Answer: A
Rationale: HIV risk is not limited to specific groups; universal screening is recommended.
Miss Lee, an Asian American on the psychiatric unit, says she is afraid that no one from her family will visit her. On what belief does Miss Lee base her statement?
- A. Many Asian Americans do not believe in hospitals.
- B. Many Asian Americans do not have close family support systems.
- C. Many Asian Americans believe the body will heal itself if left alone.
- D. Many Asian Americans view psychiatric problems as bringing shame to the family.
Correct Answer: D
Rationale: Miss Lee's fear of no family visits is rooted in the cultural belief that psychiatric issues bring shame to the family, potentially leading to avoidance or stigma, aligning with option d.
The psychological test measure emotional health is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: B
Rationale: The MMPI evaluates emotional health and psychological well-being.
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