Nokea
Which of the following guidelines for the use of nonconventional modalities is correct?
- A. Health care providers should make every attempt to ascertain alternative therapy use during each visit
- B. All 'natural' products are generally safe
- C. Health care providers should support all alternative therapies
- D. When using alternative medicines, more is always better than less
Correct Answer: A
Rationale: Assessing use at each visit ensures safety and coordination with conventional care.
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Professional codes of ethics tend to be constructed on which type of ethical theory?
- A. Utilitarianism: seeking outcomes maximizing positive & minimizing negative change
- B. Virtue theory: considers the motives and intentions of the actor
- C. Ethical decision making model: steps to make an ethical decision
- D. Duty theory: concerned with truth, fairness and keeping promises, vs. consequences
Correct Answer: D
Rationale: Duty theory underpins many codes, emphasizing obligations like confidentiality and fairness.
What concept refers to the ways in which society conveys to the individual its norms or expectations of his/her behavior?
- A. Socialization
- B. Gender schema
- C. Gender scripts
- D. Gender stereotypes
Correct Answer: A
Rationale: Socialization transmits societal norms to individuals.
The psychological test measure projective personality is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: A
Rationale: The Rorschach test uses projective techniques to uncover personality traits.
The nurse notifies the treatment team that the client's electroconvulsive therapy treatment scheduled for 9:45 a.m. is to be cancelled when the:
- A. Client's wife calls and reports she will be unable to get to the hospital before the treatment.
- B. Medication nurse gives him his regularly scheduled antihypertensive medication at 7 a.m.
- C. Night shift staff reports that the client slept fitfully and reports having 'bad dreams.'
- D. Client eats his usual breakfast of buttered toast, cooked cereal, tea, and juice.
Correct Answer: D
Rationale: The correct answer is D because food intake before electroconvulsive therapy (ECT) can increase the risk of aspiration during the procedure, which can be life-threatening. Buttered toast, cooked cereal, tea, and juice are considered solid food items that should be avoided before ECT to prevent complications. Choices A, B, and C are not immediate contraindications for canceling the ECT session. A: The client's wife being late does not impact the safety of the procedure. B: Taking antihypertensive medication does not pose a direct risk before ECT. C: Fitful sleep and bad dreams do not indicate a need for cancellation unless related to a medical emergency.
During the third week of treatment, the spouse of a patient in an alcoholism rehabilitation program says, 'After discharge, I’m sure everything will be just fine.' Which remark by the nurse will be most helpful to the spouse?
- A. It is good that you’re supportive of your spouse’s sobriety and want to help maintain it.'
- B. Although sobriety solves some problems, new ones may emerge as one adjusts to living without alcohol.'
- C. It will be important for you to structure life to avoid as much stress as possible. You will need to provide social protection.'
- D. Remember that alcoholism is a disease of self-destruction. You will need to observe your spouse’s behavior carefully.'
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the spouse's optimism while also gently highlighting the potential challenges that may arise during the recovery process. By pointing out that new problems may emerge as the patient adjusts to a life without alcohol, the nurse prepares the spouse for potential difficulties and encourages realistic expectations.
Choice A is incorrect because it only acknowledges the spouse's support without addressing the potential challenges ahead. Choice C is incorrect because it focuses solely on stress avoidance rather than preparing for the overall adjustment process. Choice D is incorrect because it emphasizes monitoring the patient's behavior rather than addressing the spouse's outlook and potential struggles.