Nokea
Which characteristic of carbon monoxide makes it a particularly dangerous gas?
- A. It is clear?
- B. It is damaging to the lungs.
- C. It is damaging to the spleen and the liver.
- D. It leads to the over production of hemoglobin.
Correct Answer: A
Rationale: Carbon monoxide is dangerous because it is odorless and colorless, making it difficult to detect.
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The theorist who believes in developmental crises is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: D
Rationale: Erikson's stages feature developmental crises.
When meeting an androgynous-appearing patient for the first time, what is the best approach?
- A. Assume that the patient is homosexual and begin by taking her medical history
- B. Ask the patient if she is a lesbian upon introducing oneself
- C. Refer to the patient by full name, rather than using an engendered prefix
- D. Avoid discussing the patient's gender or sexual preferences
Correct Answer: C
Rationale: Using a full name avoids assumptions and maintains neutrality.
The client's chart indicates that she has experienced trauma to the cerebral cortex as a result of injuries sustained during an attempted suicide. Which observation is most likely the result of this injury?
- A. Client is often found crying into her pillow.
- B. Client demonstrates involuntary twitching of facial muscles.
- C. Client states, 'What do you mean 'it's raining cats and dogs'?'
- D. Client asks, 'Can you address this letter to my mom; I forget her address?'
Correct Answer: C
Rationale: The correct answer is C because trauma to the cerebral cortex can lead to difficulties understanding and interpreting language, resulting in the client's statement of confusion about the idiom "raining cats and dogs." This type of injury can affect the client's language comprehension and expression.
Choice A is incorrect because crying into a pillow is not directly related to trauma in the cerebral cortex. Choice B is incorrect as involuntary twitching of facial muscles is more indicative of motor-related issues, not language comprehension problems. Choice D is also incorrect as forgetting an address is more related to memory issues rather than language comprehension problems resulting from cerebral cortex trauma.
The nurse psychotherapist is working with the Jones family in the outpatient mental health clinic. The husband says, 'We can’t agree on anything! And it seems like every time we disagree on something it ends up in a screaming match.' Which of the following prescriptions by the nurse represents a paradoxical intervention for the Jones family?
- A. Mr. and Mrs. Jones must not have a disagreement for one full day.
- B. Mr. and Mrs. Jones will yell at each other on Tuesdays and Thursdays from 8 p.m. until 8:10 p.m.
- C. Mr. and Mrs. Jones must refrain from yelling at each other until the next counseling session.
- D. Mr. and Mrs. Jones must not discuss serious issues until they can do so without yelling at each other.
Correct Answer: B
Rationale: The correct answer is B because a paradoxical intervention involves prescribing the symptom or issue that the client is struggling with. In this case, the Jones family is experiencing frequent yelling matches when they disagree. By prescribing a specific time for them to yell at each other, the nurse is challenging the dysfunctional pattern and creating an opportunity for them to confront and potentially change their behavior.
Choice A is incorrect because it simply avoids the issue without addressing the underlying problem. Choice C is incorrect as it also avoids the issue by postponing the yelling until the counseling session. Choice D is incorrect because it suggests avoiding serious discussions altogether, which doesn't address the root cause of the conflict.
Which of the following are the five Rights of Supervision?
- A. The right task, the right circumstances, the right person, the right competency, and the right supervision or feedback
- B. The right task, the right circumstances, the right person, the right direction or communication, and the right supervision or feedback
- C. The right competency, the right education and training, the right scope of practice, the right environment and the right client condition
- D. The right competency, the right person, the right scope of practice, the right environment and the right client condition
Correct Answer: A
Rationale: These are the recognized 'Five Rights' of supervision.