Nokea
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.
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It is an arrangement according to a systematic division into categories or groups:
- A. Classification
- B. Prediction
- C. Selection
- D. Evaluation
Correct Answer: A
Rationale: Classification organizes items systematically into categories or groups.
The psychological test measure mental health is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: B
Rationale: The MMPI is widely used to assess mental health and diagnose disorders.
As the nurse in an ambulatory care area, you see a new client enter with a cane that appears too short for the client. What should you do?
- A. Place the client in a wheelchair to protect their safety in the clinic.
- B. Remove the cane from the client to protect their safety.
- C. Teach the client about the proper length of a cane.
- D. Have the client use a wheelchair rather than the cane.
Correct Answer: C
Rationale: Teaching (C) addresses the issue directly and safely.
Nursing advocacy directed towards eliminating the stigma attached to mental illness is based on the fact that:
- A. Stigmatization only serves to increase the stress felt by the mentally ill.
- B. No one is immune to mental illness or emotional problems.
- C. Mental illness is often chronic and incurable.
- D. The mentally ill deserve our support.
Correct Answer: B
Rationale: The correct answer is B because it highlights the universal susceptibility to mental illness, emphasizing the importance of advocacy to reduce stigma. Mental health issues can affect anyone regardless of age, gender, or background. By acknowledging this, nurses can advocate for increased understanding and support for those struggling with mental illness.
A: While stigmatization does increase stress, this does not directly explain the basis for nursing advocacy.
C: Mental illness being chronic does not explain the rationale behind advocating to eliminate stigma.
D: While the mentally ill deserve support, this choice does not address the underlying reason for advocacy focused on stigma reduction.
Which somatic therapy requires a medical evaluation, review or prior care by two psychiatrists and the need to be recommended for this therapy, informed consent, and can be appropriate for clients who are pregnant?
- A. Electroconvulsive therapy (ECT)
- B. Transcranial Magnetic Stimulation (TMS)
- C. Deep Brain Stimulation (DBS)
- D. Vagus Nerve Stimulation (VNS)
Correct Answer: A
Rationale: The correct answer is A: Electroconvulsive therapy (ECT). ECT is a somatic therapy that requires a thorough medical evaluation and review by two psychiatrists to determine its appropriateness. It also necessitates being recommended for this therapy, obtaining informed consent, and can be considered safe for pregnant clients. The other choices, B, C, and D, do not require the same level of medical evaluation, review, or recommendation by two psychiatrists. They also may not be considered safe for pregnant individuals, making them less appropriate in this scenario.