Nokea
Which of the following health care system barriers can affect a patient's adherence?
- A. Treatment of asymptomatic disease
- B. Inadequate follow-up or discharge planning
- C. Forgetfulness
- D. Inadequate health insurance
Correct Answer: B
Rationale: Inadequate follow-up or discharge planning disrupts continuity of care, a systemic barrier to adherence.
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Piaget proposed cognitive stages.
- A. 4
- B. 6
- C. 5
- D. 8
Correct Answer: A
Rationale: Piaget outlined four stages: sensorimotor, preoperational, concrete operational, and formal operational.
The goal of crisis intervention has been met when a mother who lost her job:
- A. Is able to begin a search for a new job.
- B. Is no longer angry with her employer.
- C. Describes her new job as being better than the old one.
- D. Accepts a new job that requires a move to another state.
Correct Answer: C
Rationale: The correct answer is C because the goal of crisis intervention is to help the individual cope with the crisis and move towards a positive resolution. In this case, the mother describing her new job as better than the old one indicates that she has successfully transitioned from the crisis of losing her job to a positive outcome. Choice A is incorrect because just beginning a job search does not guarantee a successful resolution. Choice B is incorrect as resolving anger towards the employer is not the primary goal of crisis intervention. Choice D is incorrect because accepting a job that requires moving may not necessarily mean it is a better job than the previous one.
Miss Lee, an Asian American on the psychiatric unit, says she is afraid that no one from her family will visit her. On what belief does Miss Lee base her statement?
- A. Many Asian Americans do not believe in hospitals.
- B. Many Asian Americans do not have close family support systems.
- C. Many Asian Americans believe the body will heal itself if left alone.
- D. Many Asian Americans view psychiatric problems as bringing shame to the family.
Correct Answer: D
Rationale: Miss Lee's fear of no family visits is rooted in the cultural belief that psychiatric issues bring shame to the family, potentially leading to avoidance or stigma, aligning with option d.
A patient with AIDS is prescribed the nucleoside reverse transcriptase inhibitor lamivudine (Epivir). What information should the nurse ensure that the patient receives about this medication? (Select all that apply.)
- A. Report any onset of bleeding.
- B. Report any yellowing of the skin.
- C. Report any change in urine output.
- D. Report any symptoms similar to having the flu.
Correct Answer: B
Rationale: Step 1: Lamivudine (Epivir) can cause hepatotoxicity, leading to yellowing of the skin (jaundice).
Step 2: Yellowing of the skin is a serious side effect that should be reported immediately to prevent further liver damage.
Step 3: Reporting yellowing of the skin promptly allows for timely evaluation and necessary interventions.
Summary: Reporting bleeding, change in urine output, or flu-like symptoms are not specific to lamivudine and are not directly related to its side effects. Yellowing of the skin is a critical side effect that requires immediate attention.
The theorist who believes in social constructivism is
- A. Sigmund Freud
- B. Carl Rogers
- C. Lev Vygotsky
- D. Erik Erikson
Correct Answer: C
Rationale: Lev Vygotsky's social constructivism emphasizes learning through social interaction.