Which of the following is a tricyclic antidepressant drug?
- A. Venlafaxine (Effexor)
- B. Fluoxetine (Prozac)
- C. Sertraline (Zoloft)
- D. Imipramine (Tofranil)
Correct Answer: D
Rationale: Imipramine (Tofranil) is a tricyclic antidepressant drug. This class of medications is used to treat depression, and they work by increasing the levels of certain chemicals in the brain that help lift mood. On the other hand, Venlafaxine (Effexor) is a serotonin and norepinephrine reuptake inhibitor (SNRI), Fluoxetine (Prozac) is a selective serotonin reuptake inhibitor (SSRI), and Sertraline (Zoloft) is also an SSRI. Therefore, they are not classified as tricyclic antidepressants.
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Which food item interferes with the effectiveness of warfarin?
- A. Cauliflower
- B. Zucchini
- C. Green beans
- D. Broccoli
Correct Answer: D
Rationale: Broccoli is high in vitamin K, which can affect the effectiveness of warfarin. Warfarin is an anticoagulant medication that functions by reducing the activity of vitamin K in the body. When one consumes broccoli, which is rich in vitamin K, it could counteract the anticoagulant effect of warfarin, thereby interfering with its effectiveness. On the other hand, cauliflower, zucchini, and green beans do not have significant levels of vitamin K and hence, are not known to impact the effectiveness of warfarin.
Which breakfast items indicate an understanding of foods high in antioxidants A and C?
- A. Fried eggs, sausage, and whole wheat toast
- B. Oatmeal with blueberries and coffee
- C. Cereal with strawberries and low-fat milk
- D. Hard-boiled eggs, cantaloupe, and orange juice
Correct Answer: D
Rationale: The correct answer is D: Hard-boiled eggs, cantaloupe, and orange juice. Cantaloupe and orange juice are rich in vitamins A and C, which are known for their antioxidant properties. Choice A is incorrect because fried eggs, sausage, and whole wheat toast do not contain high levels of antioxidants A and C. Choice B is incorrect because, while blueberries are high in antioxidants, coffee does not provide significant amounts of vitamins A and C. Choice C is incorrect because, although strawberries are a good source of vitamin C, low-fat milk does not contribute significantly to vitamins A and C.
Which food items should be consumed with nonheme iron to increase its absorption, according to a nurse's education plan for clients?
- A. Kiwi
- B. Strawberries
- C. Coffee
- D. Kiwi and Strawberries
Correct Answer: D
Rationale: The correct answer is D: Kiwi and Strawberries. Both of these fruits are high in vitamin C, a nutrient known to enhance the absorption of nonheme iron. Vitamin C facilitates the conversion of nonheme iron into a form that is more readily absorbed by the body, thereby enhancing iron intake. In contrast, coffee (Choice C) contains certain compounds that can actually inhibit the absorption of iron, making it a less desirable choice when the goal is to increase iron absorption. Consequently, Choices A (Kiwi), B (Strawberries), and C (Coffee) were specifically picked to highlight the varying effects of different food items on nonheme iron absorption.
What term is used to refer to the beliefs, ideals, and values that direct an organization and give it a sense of purpose?
- A. Philosophy
- B. Mission
- C. Vision
- D. Goals and Objectives
Correct Answer: C
Rationale: The correct term for the beliefs, ideals, and values that direct an organization and provide it with a sense of purpose is 'Vision'. A Vision statement outlines the organization's aspirations and goals for the future. Choices A, B, and D are incorrect in this context. 'Philosophy' refers to a system of beliefs or principles, 'Mission' relates to the organization's purpose and primary objectives, and 'Goals and Objectives' are the specific targets set to accomplish the Vision.
During which phase of the therapeutic relationship should the nurse inform the patient about the termination of therapy?
- A. Pre-orientation
- B. Orientation
- C. Working
- D. Termination
Correct Answer: D
Rationale: The correct answer is 'Termination'. This phase of the therapeutic relationship is when the nurse informs the patient about the conclusion of therapy. It is during this phase that the nurse and the patient review the goals and progress made and also discuss the upcoming termination. The other phases are not the appropriate times for discussing termination. 'Pre-orientation' is the phase before the nurse-patient relationship is established; 'Orientation' is when the nurse and patient get to know each other and set goals; and 'Working' is when these goals are pursued. Therefore, choices A, B, and C are incorrect.