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 psychosexual stage associated with autonomy is
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: B
Rationale: The anal stage (1-3 years) fosters autonomy through control mastery (Freud).
Which of the following is the best way to defuse cultural misunderstandings that serve as obstacles in cross-cultural care?
- A. Reinforce personal authority in the doctor-patient relationship
- B. Advocate changes in current medical school curriculum
- C. Avoid serving patients from particular backgrounds
- D. Maintain open and honest communication with patients
Correct Answer: D
Rationale: Open communication resolves misunderstandings and builds trust.
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.
A client who has been prescribed chronotherapy for disrupted sleep patterns resulting from his chronic depression tells the nurse that he can't afford to stay in the hospital for the treatments since he has to get back to work. The nurse responds that:
- A. The therapy requires only a few treatments that can be accomplished in just a few days.
- B. Most employers will view the treatments as a medical necessity and provide sick leave.
- C. He can administer the treatments at home once he is trained to do so.
- D. His treatment team will discuss outpatient alternatives to this form of therapy.
Correct Answer: C
Rationale: Rationale for choice C (correct answer):
1. Chronotherapy involves timed exposure to light and darkness to regulate sleep patterns.
2. The nurse suggests the client can administer the treatments at home once trained, indicating it's feasible.
3. This empowers the client to continue treatment while balancing work obligations.
4. It ensures continuity of care and adherence to the therapy plan.
Summary of other choices:
A: Incorrect - Chronotherapy requires multiple treatments over several weeks, not just a few days.
B: Incorrect - While some employers may provide sick leave, it's not guaranteed and may not cover the entire treatment duration.
D: Incorrect - While outpatient alternatives may be discussed, administering at home is more practical for this client's situation.
During an assessment interview with a newly admitted client, the nurse identifies a sense of anger developing in response to the client's defiant statements. In order to maintain a therapeutic environment, the nurse:
- A. Asks that another nurse continue the assessment.
- B. Identifies for the client the inappropriateness of his statements.
- C. Shares with the client that he appears angry about being admitted.
- D. Postpones the remainder of the interview until the client is more cooperative.
Correct Answer: C
Rationale: Rationale:
C is correct because it acknowledges the client's emotions without judgment, fostering trust and open communication. It validates the client's feelings and helps explore the underlying issues. A avoids addressing the situation directly. B could escalate the client's defensiveness. D may reinforce the client's behavior by allowing avoidance.