Nokea
When treating a patient who cannot speak English, what is the primary advantage of using a professional medical interpreter instead of family members?
- A. Professional interpreters always have more medical knowledge than family members
- B. Professional interpreters can calm emotionally distressed patients
- C. Professional interpreters can offer direct interpretation of the patient's responses
- D. Professional interpreters always have a better command of the English language
Correct Answer: C
Rationale: Direct interpretation ensures accuracy and avoids family bias or omission.
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Nurses must care for the abuser, as well as the abused person. You are caring for a middle-aged man who is under medical and psychiatric care for molesting a 7-year-old girl. You inform him that dinner is being served in the dining room. He tells you to leave and that he does not want anyone to see him or know what I did. You respond:
- A. You will need to face people sooner or later.
- B. You are here for treatment of an illness, not judgment of an action.
- C. I guess I wouldnt want to been seen either. You may stay here.
- D. Only the staff knows the reason for your admission.
Correct Answer: B
Rationale: This response is professional and communicates support to this patient. Responses A and C are judgmental. Response D is true, but is not as supportive as response B.
According to Erikson initiative vs guilt is faced by
- A. Adulthood
- B. Play age
- C. Infancy
- D. Old age
Correct Answer: B
Rationale: Initiative vs. guilt occurs at play age (3-5 years), per Erikson.
A decrease in which of the following neurotransmitters has been implicated in depression?
- A. GABA, acetylcholine, and aspartate
- B. Norepinephrine, serotonin, and dopamine
- C. Somatostatin, substance P, and glycine
- D. Glutamate, histamine, and opioid peptides
Correct Answer: B
Rationale: A decrease in norepinephrine, serotonin, and dopamine has been well-documented in the etiology of depression, as these neurotransmitters play key roles in mood regulation, aligning with option b.
Sex role stereotypes describe what we think the sexes are like, but also
- A. How we think they should act
- B. How media should portray them
- C. Future career choices
- D. How we should interact with them
Correct Answer: A
Rationale: Stereotypes prescribe expected behaviors for each sex.
You are caring for a high risk pregnant client who is in a life threatening situation. The fetus is also at high risk for death. Clinical decisions are being made that concern you because some of these treatments and life saving measures promote the pregnant woman's life at the same time that they significantly jeopardize the fetus' life and viability and other decisions can preserve the fetus's life at the expense of the pregnant woman's life. Which role of the nurse is the priority at this time?
- A. Case manager
- B. Collaborator
- C. Coordinator of care
- D. Advocacy
Correct Answer: D
Rationale: Advocacy ensures the rights and best interests of the patient are respected.