Nokea
Which of the following drugs is administered to minimize respiratory secretions preoperatively?
- A. Valium (diazepam)
- B. Phenergan (promethazine)
- C. Atropine sulfate
- D. Demerol (Meperidine)
Correct Answer: C
Rationale: Atropine sulfate (Option C), an anticholinergic, dries secretions to prevent aspiration during surgery. Valium (A) is an anxiolytic, Phenergan (B) an antihistamine, and Demerol (D) an opioid—none target secretions.
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During bilateral ECT the electrodes are placed on-
- A. Biparietal region
- B. Bitemporal region
- C. Just above the frontal area
- D. Occipital region
Correct Answer: B
Rationale: In bilateral electroconvulsive therapy (ECT), electrodes are placed on the bitemporal region (Option B), one on each side of the forehead, to induce a generalized seizure effectively. Biparietal (A) and frontal (C) placements are less common, and occipital (D) is not used due to its distance from seizure-inducing brain areas.
Joy has just experienced her fifth spontaneous abortion. She is unable to understand why this is happening to her. Joy voices her anger toward her physician and the nurses, accusing them of incompetence. Assessing the situation, the nurse recognizes that the client may be using the coping mechanism of:
- A. Conversion reaction.
- B. Displacement.
- C. Denial.
- D. Regression.
Correct Answer: B
Rationale: Displacement is transferring anger and hostility to another person or object that is perceived less powerful.
A patient diagnosed with schizophrenia lives in the community. On a home visit, the community psychiatric nurse case manager learns that the patient: wants to attend an activity group at the mental health outreach center, is worried about being able to pay for the therapy, does not know how to get from home to the outreach center, has an appointment to have blood work at the same time an activity group meets, wants to attend services at a church that is a half-mile from the patients home. Which tasks are part of the role of a community mental health nurse?Select one that does not apply.
- A. Rearranging conflicting care appointments
- B. Negotiating the cost of therapy for the patient
- C. Arranging transportation to the outreach center
- D. Accompanying the patient to church services weekly
Correct Answer: D
Rationale: The correct answers reflect the coordinating role of the community psychiatric nurse case manager. Negotiating the cost of therapy and accompanying the patient to church services are interventions the nurse would not be expected to undertake. The patient can walk to the church services; the nurse can provide encouragement.
A patient is diagnosed with anorexia nervosa. The history reveals the patient virtually stopped eating 5 months ago and lost 25% of body weight. A nurse tells the patient, 'Describe what you think about your present weight and how you think you look.' Which response would be most consistent with the diagnosis?
- A. I’m fat and ugly.'
- B. What I think about myself is my business.'
- C. I’m grossly underweight, but thin is interesting.'
- D. I’m a few pounds overweight, but I can live with it.'
Correct Answer: A
Rationale: Anorexia nervosa involves a distorted body image; 'I’m fat and ugly' (Option A) reflects this denial of thinness despite a 25% weight loss. Option B avoids the question, C acknowledges thinness (atypical), and D underestimates the severity.
The nurse uses a variety of therapeutic communication skills when working with patients. Which of the following is a therapeutic goal that can be accomplished through the use of therapeutic communication skills?
- A. Inform the patient of priority problems
- B. Assess the patient's perception of a problem
- C. Assist the patient to control emotions
- D. Provide the patient with a plan of action
Correct Answer: B
Rationale: Therapeutic communication aims to understand the client's perspective, making assessing their perception of a problem a key goal. It also facilitates identifying client concerns, expressing emotions, and guiding toward a plan, but assessing perception is foundational. Choice A is more directive, C focuses on emotion control rather than exploration, and D skips to action without client input.