Which of the following approaches may aid a health care provider in understanding the factors that affect adherence?
- A. Schedule monthly follow-up appointments
- B. Ask patients if they understand how to take their medications
- C. Find out the significant sources of stress in patients' lives
- D. Offer liquid or chewable alternatives to medicine that must be swallowed
Correct Answer: C
Rationale: Identifying stressors reveals barriers to adherence beyond medication logistics.
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In considering intervention choice points, where should a family practitioner begin?
- A. Couple dyadic-Experiential
- B. Family-Community/Behavioural-Interactional
- C. Individual-Historical
- D. Family-Community/Experiential
Correct Answer: B
Rationale: Starting with family-community and behavioral-interactional approaches allows practitioners to assess systemic interactions and environmental influences first.
Your new patient in the ER states that she was been beaten and raped. What should you do first?
- A. Ask for a psychiatric consult.
- B. Stay with her and provide support.
- C. Wash and dress her wounds before the rape kit is performed.
- D. Encourage her to tell you the details of what happened.
Correct Answer: B
Rationale: Providing security and support are the best initial interventions. Response C is incorrect. Responses A and D may be needed later.
You are the Assistant Director of Nursing in a multiethnical and culturally diverse inner city acute care facility. You will be chairing a committee to develop a philosophy of nursing that addresses these facility characteristics and the characteristics of the clients. Which theoretical framework would you recommend that this committee should consider when addressing mutiethnicity and the culturally diverse nature of this facility for this philosophy?
- A. Jean Watson's
- B. Martha Rogers'
- C. Nagi's theory
- D. Madeleine Leininger's theory
Correct Answer: D
Rationale: Leininger's theory (D) focuses on cultural care diversity.
An adult in the emergency department states, 'I feel restless. Everything I look at wavers. Sometimes I’m outside my body looking at myself. I hear colors. I think I’m losing my mind.' Vital signs are slightly elevated. The nurse should suspect a(n):
- A. schizophrenic episode
- B. cocaine overdose
- C. phencyclidine (PCP) intoxication
- D. D-lysergic acid diethylamide (LSD) ingestion
Correct Answer: D
Rationale: The correct answer is D, D-lysergic acid diethylamide (LSD) ingestion. LSD causes visual disturbances, dissociation, heightened sensory perceptions, and altered sense of reality, matching the client's symptoms. Vital signs being slightly elevated are consistent with LSD use. Schizophrenic episodes (A) involve long-term symptoms, not acute onset. Cocaine overdose (B) would present with more severe vital sign changes. PCP intoxication (C) typically causes aggression and hallucinations, not the described symptoms.
Which of the following is not considered one of the 'Ten Rights of Medication Administration'?
- A. The 'right' verification
- B. The 'right' to refuse
- C. The 'right' documentation
- D. The 'right' client education
Correct Answer: A
Rationale: Verification (A) is not among the standard Ten Rights.