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Which of the following choices represents a barrier to health care for low-income patients in the U.S.?
- A. Limited health care and educational programs close to home
- B. Language proficiency
- C. Busy schedule
- D. Availability of brand-name medication
Correct Answer: A
Rationale: Limited local resources restrict access for low-income patients.
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Select the nursing intervention necessary after administering naloxone (Narcan) to a patient with an opiate overdose.
- A. Monitor the airway and vital signs every 15 minutes.
- B. Insert a nasogastric tube and test gastric pH.
- C. Treat hyperpyrexia with cooling measures.
- D. Insert an indwelling urinary catheter.
Correct Answer: A
Rationale: The correct answer is A: Monitor the airway and vital signs every 15 minutes. After administering naloxone to a patient with an opiate overdose, it is crucial to monitor the patient's airway and vital signs regularly to assess for respiratory depression, potential re-sedation, and other adverse effects of naloxone. This intervention ensures the patient's safety and allows for prompt detection and management of any complications.
Choice B is incorrect because inserting a nasogastric tube and testing gastric pH is not indicated after naloxone administration for opiate overdose. Choice C is incorrect as treating hyperpyrexia with cooling measures is not a priority intervention in this scenario. Choice D is also incorrect as inserting an indwelling urinary catheter is not necessary after administering naloxone for opiate overdose.
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).
In order to become political advocates for the mentally ill, psychiatric nurses must first:
- A. Be willing to learn the legislative and regulatory processes at both the federal and state levels.
- B. Recognize the need to work in partnership with the American Medical Association.
- C. Be willing to put aside differences and unite for a common mental health cause.
- D. Recognize the value of their understanding of the needs of the mentally ill.
Correct Answer: D
Rationale: The correct answer is D because psychiatric nurses must understand the unique needs of the mentally ill to effectively advocate for them. By recognizing the value of their understanding, nurses can tailor their advocacy efforts to address these specific needs. Choice A is incorrect as legislative knowledge is important but not the primary requirement. Choice B is incorrect as partnership with the AMA is not necessary for advocacy. Choice C is incorrect as unity alone is not sufficient without a clear understanding of the mental health issues.
Mr Tan has been visiting the casino on weekends with his friends for the past 6 months, and would stay through the night on Saturdays. He recently returned at dawn in drunken stupor. His wife Mrs Tan relates this problem to you saying that she tries to stop him but he refused. He says he only gambles a fixed amount each session. He works as a technician and does not have problems at work, he says he likes gambling including buying 4D, but has no debt. He spends less and less time with the family and Mrs Tan is very worried. Mr Tan is likely to have problems associated with
- A. Social gambling.
- B. At risk gambling.
- C. Problem gambling.
- D. Pathological gambling.
Correct Answer: B
Rationale: Mr. Tan's behavior shows increased gambling frequency and family concern, but no severe financial or occupational impact, aligning with at-risk gambling.
The theorist who believes that personality develops through social interaction is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: D
Rationale: Erikson's psychosocial theory ties personality to social stages.