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Which of the following methods is most effective when getting a consensus among family members of a patient who lacks decisionmaking capacity?
- A. Remove oneself from the room and allow the family to discuss among themselves
- B. Tactfully argue for the most effective procedure
- C. Use active listening to query about decision-making processes, expectations, and understanding of the patient's illness
- D. Ask the most senior member of the family to make the final decision
Correct Answer: C
Rationale: Active listening facilitates consensus by understanding family dynamics.
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A patient arrives at the hospital and describes his inability to achieve an erection after taking his Zoloft for the last three months. The nurse instructs:
- A. Can discuss switching medications with physician
- B. but do not abruptly stop taking medication - can cause withdrawal symptom
- C. Polyuria
- D. Weight gain
Correct Answer: A
Rationale: Step 1: Zoloft is known to cause sexual side effects like erectile dysfunction.
Step 2: The nurse should recommend discussing switching medications with the physician to address the issue.
Step 3: Switching medications may help alleviate the erectile dysfunction without compromising the patient's mental health treatment.
Summary:
Option A is correct as it directly addresses the patient's concern and offers a potential solution. Options B, C, and D are incorrect as they are unrelated to the patient's issue with erectile dysfunction caused by Zoloft.
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 nurse is participating in the planning of care for a patient who has HIV. Which therapeutic action should the nurse recognize as the treatment goal for HIV?
- A. Stimulating the immune system
- B. Treating opportunistic infections
- C. Killing the virus with medication
- D. Keeping the virus from replicating
Correct Answer: D
Rationale: The correct answer is D: Keeping the virus from replicating. The primary treatment goal for HIV is to maintain an undetectable viral load by inhibiting viral replication through antiretroviral therapy. This helps to prevent progression to AIDS and reduces the risk of transmission.
A: Stimulating the immune system is not the primary goal as HIV specifically targets and weakens the immune system.
B: Treating opportunistic infections is important but not the primary goal; it's a consequence of HIV-related immune suppression.
C: Killing the virus with medication is not entirely possible due to HIV's ability to integrate into host DNA; the focus is on viral suppression to prevent replication.
Which treatment has been identified as a best practice for persons with borderline personality disorder?
- A. Dialectical behavioral therapy (DBT)
- B. Cognitive Behavioral Therapy (CBT)
- C. Mindfulness-Based Cognitive Therapy (MBCT)
- D. Exposure and Response Prevention (ERP)
Correct Answer: A
Rationale: The correct answer is A: Dialectical Behavioral Therapy (DBT). DBT is specifically designed for individuals with borderline personality disorder, focusing on emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness. It has shown to be effective in reducing self-harm behaviors and improving overall functioning. CBT (B) may be helpful for some symptoms but lacks the comprehensive approach of DBT. MBCT (C) is primarily used for depression and may not address the specific needs of individuals with borderline personality disorder. ERP (D) is used for anxiety disorders, not BPD.
Which of these is not one of the principles that underlie Fellin's multicultural perspective
- A. It should be inclusive of all subcultural groups that are viewed as distinct yet interdependent with mainstream US culture
- B. It should recognize that not all members of US society engage in relationships within their various cultures and in relation to a mainstream US culture
- C. It should recognize the changing nature of US society as it is continually influenced by all of its subcultures
- D. The relationship the Social Worker has with one or two family members influences his or her alliance with other family members in a linear fashion.
Correct Answer: D
Rationale: Fellin's principles focus on societal dynamics, not linear therapeutic relationships.