Nokea
Which of the following barriers to health care may have created health disparities for lesbians in the U.S.?
- A. Homophobia
- B. Lack of insurance
- C. Socioeconomic level
- D. Level of education
Correct Answer: A
Rationale: Homophobia drives disparities by limiting access and comfort in care settings.
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The nurse provides teaching on nevirapine (Viramune) for a patient who is HIV positive. Which patient statement indicates that teaching has been effective?
- A. Monitor for rash.
- B. Observe urine color.
- C. Report extremity pain.
- D. Monitor for flulike symptoms.
Correct Answer: A
Rationale: The correct answer is A because monitoring for rash is a crucial aspect of nevirapine therapy due to the risk of severe skin reactions. This teaching is essential for the patient's safety and well-being. Option B is unrelated to nevirapine therapy. Option C is vague and not specific to nevirapine side effects. Option D is also important but less specific to nevirapine's adverse effects compared to monitoring for rash. Thus, the correct answer is A.
There appears to be a power struggle among the members of an outpatient therapeutic support group. Which event that occurred during a session demonstrates a need for the leader to intervene?
- A. Two members consistently engaged in debates that made voting on issues very difficult.
- B. A member abruptly left the group session when his proposal did not gain enough votes to pass.
- C. Three members monopolized the session debating what stress management technique is most helpful.
- D. The decision regarding the admission of late members had to be postponed since no agreement could be reached.
Correct Answer: A
Rationale: The correct answer is A. In this scenario, consistent debates hindering decision-making indicate a power struggle. The leader should intervene to facilitate productive discussions and maintain group cohesion. Choice B demonstrates individual frustration, not a group dynamic issue. Choice C shows members monopolizing, but not necessarily a power struggle. Choice D reflects a disagreement, but not a power struggle within the group. Therefore, Choice A is the most critical issue requiring intervention.
The nurse best assures that a psychiatric client's rights are respected and preserved by:
- A. Educating each client as to his or her legally protected rights.
- B. Being knowledgeable of the state laws that regulate client rights.
- C. Participating as a member of the client's multidisciplinary health care team.
- D. Referring all issues of a legal nature to the appropriate facility committee.
Correct Answer: B
Rationale: The correct answer is B because being knowledgeable of state laws regulating client rights enables the nurse to advocate effectively. By understanding the legal framework, the nurse can ensure the client's rights are upheld. Choice A may not cover all legal aspects, choice C focuses on healthcare teamwork, and choice D may delay addressing legal issues promptly. Being well-versed in state laws is crucial for protecting client rights.
It has been estimated that 20%, or 45 million, adults ages 18 or older in the United States have experienced a mental illness in the past year. Which nursing intervention is directed toward addressing the greatest barrier to successful treatment outcomes for these individuals?
- A. Educating clients as to the importance of completing their treatment recommendations
- B. Identifying resources where medications can be secured at reduced or no cost
- C. Actively involving the client in the planning of his or her mental health care
- D. Evaluating the client for compliance with his or her plan of care frequently
Correct Answer: A
Rationale: The correct answer is A: Educating clients as to the importance of completing their treatment recommendations. This intervention is crucial because lack of understanding about the importance of completing treatment can lead to non-compliance, which is a significant barrier to successful treatment outcomes. By educating clients, nurses can empower them to take ownership of their health and adhere to their treatment plans.
Choice B is incorrect because while identifying resources for medications is important, it may not address the underlying issue of non-compliance. Choice C, involving the client in planning care, is important but may not directly address non-compliance. Choice D, evaluating compliance frequently, is necessary but does not address the root cause of non-compliance. Therefore, the most effective intervention is to educate clients about the importance of completing their treatment recommendations.
Which of the following is a common ethical challenge for family practitioners?
- A. Choosing to focus on the welfare of the individual or the family
- B. Avoiding upsetting the family system through disclosure of therapist faith
- C. Choosing which theoretical orientation to apply to an individual family
- D. N/A
Correct Answer: A
Rationale: Balancing individual vs. family welfare is a frequent ethical dilemma in systemic therapy.