Nokea
Which of the following approaches is most effective in helping patients with type 2 diabetes to lose weight?
- A. Advocate the American Diabetes Association's 1800-calorie diet for all patients
- B. Recommend daily exercise and decreased food intake
- C. Suggest substituting healthy ingredients for meals and snacks based on the patient's cultural heritage and personal preferences
- D. Refer patients to a dietitian for all their diet-related inquiries
Correct Answer: C
Rationale: Culturally tailored substitutions enhance adherence by aligning with patient preferences and lifestyle.
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What are the common side effects of the anticonvulsant Divalproex (Depakote)?
- A. GI upset
- B. Headache
- C. Dizziness
- D. Weight gain
Correct Answer: A
Rationale: The correct answer is A: GI upset. Divalproex is known to cause gastrointestinal (GI) upset as a common side effect, including symptoms like nausea, vomiting, and diarrhea. This is due to its irritant effect on the stomach lining.
B: Headache - While headache can be a side effect of some medications, it is not a common side effect of Divalproex.
C: Dizziness - Dizziness can occur as a side effect of Divalproex, but it is less common compared to GI upset.
D: Weight gain - Weight gain is a known side effect of Divalproex, but it is not as common as GI upset. Weight gain typically occurs over time with long-term use.
A -..---disorder is when the quality of the voice changes as it travels through the different-shaped spaces of the throat, nose, and mouth:
- A. Speech sound disorder
- B. Speech disorder
- C. Voice disorder
- D. Resonance Disorders
Correct Answer: D
Rationale: Resonance disorders affect voice quality due to nasal or oral cavity issues.
The theorist associated with humanistic psychology is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Ivan Pavlov
Correct Answer: B
Rationale: Carl Rogers is a key figure in humanistic psychology, focusing on self-growth.
A nurse can assist a patient and family in which aspects of substance abuse relapse prevention? Select all that apply.
- A. Rehearsing techniques to handle anticipated stressful situations
- B. Advising the patient to accept residential treatment if relapse occurs
- C. Assisting the patient to identify life skills needed for effective coping
- D. Isolating self from significant others and social situations until sobriety is established
Correct Answer: A
Rationale: The correct answer is A because rehearsing techniques to handle stressful situations is a crucial aspect of substance abuse relapse prevention. By practicing coping strategies, the patient can effectively navigate triggers and prevent relapse.
Choices B, C, and D are incorrect:
B: Advising residential treatment is not a proactive relapse prevention strategy and does not empower the patient to manage triggers independently.
C: Identifying life skills is important, but alone it may not directly address relapse prevention techniques.
D: Isolating from support systems contradicts the importance of social support in recovery and may lead to feelings of loneliness and vulnerability, increasing the risk of relapse.
A health care worker is exposed to blood from a patient who has HIV. What action should the worker take after the exposure?
- A. Apply alcohol to the site.
- B. Cleanse the site with soap and water.
- C. Flush the site with hot running water.
- D. Apply a topical antibiotic to the site.
Correct Answer: B
Rationale: The correct answer is B: Cleanse the site with soap and water. This is because soap and water effectively clean and disinfect the wound, reducing the risk of infection. Alcohol may not be as effective in removing bloodborne pathogens like HIV. Flushing with hot water can cause tissue damage and is not recommended. Applying a topical antibiotic is not necessary for blood exposure and may not prevent HIV transmission. Proper cleansing with soap and water is crucial to minimize the risk of infection following exposure to bloodborne pathogens like HIV.