Nokea
Which medication is the nurse most likely to see prescribed as part of the treatment plan for both a patient in an alcoholism treatment program and a patient in a program for the treatment of opioid addiction?
- A. methadone (Dolophine)
- B. bromocriptine (Parlodel)
- C. disulfiram (Antabuse)
- D. naltrexone (Revia)
Correct Answer: D
Rationale: Rationale: Naltrexone (Revia) is the correct answer because it is commonly prescribed for both alcoholism and opioid addiction. It works by blocking the effects of opioids and alcohol in the brain, reducing cravings and helping with relapse prevention. Methadone (A) is primarily used for opioid addiction, while bromocriptine (B) is not commonly used for addiction treatment. Disulfiram (C) is specifically for alcoholism and works by causing unpleasant effects if alcohol is consumed.
You may also like to solve these questions
Mr. and Mrs. Smith and their three children (ages 5, 8, and 10) are in therapy with the nurse psychotherapist. Mrs. Smith tells the nurse that their marriage has been 'falling apart' since the birth of their youngest child, Tom. She explains that they 'did not want a third child, and I became pregnant even after my husband had undergone a vasectomy. We were very angry, the pregnancy was a problematic one, and the child has been difficult since birth. We had problems before he was born, but since Tom was born, things have gone from bad to worse. No one can control him, and he is wrecking our family!' The nurse assesses that which of the following may be occurring in this family?
- A. Scapegoating
- B. Triangling
- C. Disengagement
- D. Enmeshment
Correct Answer: A
Rationale: The correct answer is A: Scapegoating. Scapegoating occurs when one family member is blamed for the family's issues. In this case, Tom, the youngest child, is being blamed for the family's problems since his birth. Mrs. Smith explicitly states that they did not want a third child and that Tom has been difficult since birth. By blaming Tom for the family's issues, the family is using him as a scapegoat to avoid addressing their underlying problems. This behavior can negatively impact Tom's self-esteem and create further dysfunction within the family dynamics.
Incorrect Choices:
B: Triangling involves involving a third person in a conflict to avoid directly addressing the issue. While the family dynamics may involve triangulation, the primary issue here is scapegoating.
C: Disengagement refers to emotional withdrawal and lack of involvement in family dynamics. This does not align with the scenario provided.
D: Enmeshment is when boundaries between family members are blurred, leading to a
Self is an ongoing process that combines the 'I' and 'ME'. The 'I' refers to
- A. The image we have of how other people react to us
- B. The spontaneous force that fosters unpredictable behavior
- C. Both of these
- D. None of these
Correct Answer: B
Rationale: The 'I' (Mead) is the spontaneous, unscripted aspect of self.
The Montessori approach believes materials should be
- A. Teacher-provided
- B. Child-selected
- C. Standardized
- D. Simple
Correct Answer: B
Rationale: Montessori materials are child-selected to encourage autonomy.
Why are patients advised not to abruptly discontinue a benzodiazepine regimen?
- A. Potential for seizures
- B. Have many side effects
- C. Serotonin syndrome
- D. but do not abruptly stop taking medication - can cause withdrawal symptom
Correct Answer: A
Rationale: The correct answer is A: Potential for seizures. Abruptly discontinuing benzodiazepines can lead to withdrawal symptoms, including seizures, due to the sudden decrease in GABA activity in the brain. This can result in serious health risks. Option B is incorrect as side effects are not the primary reason for gradual tapering. Option C is unrelated, as serotonin syndrome is associated with other types of medications. Option D is incorrect because withdrawal symptoms, not side effects, are the main concern when stopping benzodiazepines abruptly.
Which statement by an older adult who has recently had hip replacement surgery supports that her positive attitude is contributing to her mental health wellness?
- A. I know I can't go hiking like I did, but I really miss it so much.'
- B. I can't go hiking, but I still enjoy walking in the park in the afternoon.'
- C. If I work really hard in rehab, I think I'll be able to hike again next spring.'
- D. Hiking gave me such pleasure, but if I can't hike, I'll just have to get used to it.'
Correct Answer: B
Rationale: The correct answer is B because it demonstrates a positive attitude and adaptability. The older adult acknowledges the limitation of not being able to hike but focuses on enjoying walking in the park, showing resilience and a proactive approach to finding joy in other activities. Choice A reflects a focus on what is missed, choice C is future-oriented without accepting the current situation, and choice D shows resignation rather than a positive outlook. Overall, choice B showcases a realistic yet optimistic perspective that supports mental health wellness after hip replacement surgery.