Nokea
When treating life-threatening illnesses, how should physicians respond to the religious beliefs of their patients?
- A. Always give treatment that preserves life and offers the best outcome
- B. Initiate a respectful discussion that includes the patients' families and/or the patients' spiritual advisors
- C. Allow the patients to make the appropriate choices excluding outside influences
- D. Discourage the patients from making a decision based only on their religious beliefs
Correct Answer: B
Rationale: Involving family and advisors respects beliefs while guiding treatment decisions.
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When you are monitoring your client who is now started on an intravenous antibiotic for an infection, you notice that the client is exhibiting signs of anaphylaxis. What is your first priority intervention?
- A. Stop the intravenous flow
- B. Slow down the intravenous flow
- C. Notify the doctor
- D. Begin CPR
Correct Answer: A
Rationale: Stopping the IV (A) is the first step to halt anaphylaxis progression.
When a patient requires long-term care, which of the following issues must be addressed by the family and the health care providers?
- A. How the family expects to manage the patient's finances
- B. How the patient and family feel about nursing homes
- C. Which nursing home has doctors or nurses with the same cultural background
- D. Which family member will tell the patient that he/she cannot return home
Correct Answer: B
Rationale: Attitudes toward nursing homes are critical in planning long-term care.
When could ministers or elders from the religious community play a role in patient care?
- A. Only when the patient is put under hospice care
- B. At the request of the patient or family member
- C. At the request of the physician
- D. When their involvement is welcome by the patient and their family
Correct Answer: D
Rationale: Welcomed involvement respects patient and family preferences.
An individual is being admitted for psychiatric treatment. The initial role of the nurse regarding this individual's psychopharmacologic therapy is to:
- A. Gather data to create a baseline assessment that includes a medication history.
- B. Assess the individual's understanding of the therapeutic value of his or her current medications.
- C. Evaluate the effectiveness of the medication regime by focusing on the client's current symptoms.
- D. Begin the admission interview in such a manner that will foster a therapeutic nurse-client relationship.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Gathering data to create a baseline assessment is crucial to understanding the individual's medication history and current status.
2. This baseline assessment helps identify potential interactions, allergies, and previous responses to medications.
3. It allows the nurse to make informed decisions regarding the individual's psychopharmacologic therapy.
4. Assessing understanding (B) and evaluating effectiveness (C) are important but come after establishing the baseline assessment.
5. Building a therapeutic relationship (D) is essential but not the initial step in psychopharmacologic therapy.
Parents of a teenager recently diagnosed with serious mental illness express dismay. One parent says, Our child acts so strangely that we dont invite friends to our home. We quit taking vacations. Sometimes we dont get any sleep. Which nursing diagnosis best applies?
- A. Impaired parenting
- B. Dysfunctional grieving
- C. Impaired social interaction
- D. Interrupted family processes
Correct Answer: D
Rationale: Interrupted family processes are evident in the face of disruptions in family functioning as a result of having a mentally ill member. Assessment data best support this diagnosis. Data are insufficient to support the other diagnoses.