Nokea
Which of the following is not a reason adults often do not seek interventions for hearing loss?
- A. Cost of treatment
- B. One in four
- C. Perception that problem is not severe
- D. Availability of treatment
Correct Answer: B
Rationale: ‘One in four' is irrelevant; cost and perception are common barriers.
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Freud defines the ego as:
- A. Helping to determine what is right and what is wrong.
- B. Being concerned with self-gratification.
- C. Focusing on reality.
- D. The part where a person is only concerned with ones individual needs.
Correct Answer: C
Rationale: The ego is responsible for meeting and interacting with the outside world. The id is balanced by the ego.
A patient is admitted in a comatose state after ingesting 30 capsules of pentobarbital sodium. A friend of the patient says, 'Often my friend drinks, along with taking more of the drug than is ordered.' What is the effect of the use of alcohol with this drug?
- A. The drug’s metabolism is stimulated.
- B. The drug’s effect is diminished.
- C. A synergistic effect occurs.
- D. There is no effect.
Correct Answer: C
Rationale: The correct answer is C: A synergistic effect occurs. When alcohol is consumed with pentobarbital sodium, both substances depress the central nervous system. This results in an enhanced sedative effect, leading to respiratory depression, coma, and potentially death. The combined effect of the two substances is greater than the sum of their individual effects. Choices A and B are incorrect as alcohol does not stimulate the metabolism of pentobarbital sodium nor diminish its effect. Choice D is also incorrect as there is a significant effect when alcohol is combined with this drug.
A nurse with a history of narcotic dependence is found unconscious in the hospital locker room after overdosing. The nurse is transferred to the inpatient chemical dependence unit for care. Which attitudes or behaviors by nursing staff may be enabling?
- A. Conveying understanding that pressures associated with nursing practice underlie substance use.
- B. Pointing out that work problems are the result, but not the cause, of substance dependence.
- C. Conveying empathy when the nurse discusses fears of disciplinary action by the state board of nursing.
- D. Providing health teaching about stress management.
Correct Answer: A
Rationale: The correct answer is A because conveying understanding that pressures associated with nursing practice underlie substance use may enable the nurse's behavior by justifying or excusing the substance dependence. This attitude may inadvertently support the nurse's addiction by overlooking the need for accountability and treatment.
Choices B, C, and D are incorrect because:
B: Pointing out that work problems are the result, but not the cause, of substance dependence does not enable the behavior. It acknowledges the issue without excusing or enabling it.
C: Conveying empathy when the nurse discusses fears of disciplinary action by the state board of nursing is not enabling behavior. It shows support and understanding without condoning the substance misuse.
D: Providing health teaching about stress management is not enabling behavior. It focuses on addressing the underlying issues rather than enabling or excusing the substance dependence.
What does the textbook consider the client's ultimate resource of positive, personal power?
- A. A strong therapeutic alliance
- B. Positive self-regard
- C. Free will
- D. A functional relationship with community
Correct Answer: C
Rationale: Free will empowers clients to enact change, per the text.
The difference between child abuse and child neglect is:
- A. Abuse is done on purpose; neglect is accidental.
- B. Abuse is an act of commission; neglect is an act of omission.
- C. Abuse is a crime; neglect is not.
- D. Children are often afraid to report abuse, but are willing to report neglect.
Correct Answer: B
Rationale: Abuse is purposeful mistreatment of another (therefore commission) and neglect is deprivation that is an omission of needed care.