Which of the following personnel do has the “right to know†medical information?
- A. The facility's Performance Improvement Director who is not a healthcare person and who has no direct contact with clients
- B. A nursing student who is caring for a client under the supervision of the nursing instructor
- C. The facility's Safety Officer who is not a healthcare person and who has no direct contact with clients
- D. A department supervisor with no direct or indirect care duties
Correct Answer: B
Rationale: Personnel without direct client contact generally do not have the 'right to know'.
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----teachers are now learning how to allow these students to experience the same opportunities available for gifted students:
- A. Savvy
- B. Intelligent
- C. Knowledge
- D. Practical based
Correct Answer: A
Rationale: Savvy teachers adapt methods to include special needs students in enriched opportunities.
The nurse is managing the care of an older adult who has recently immigrated to the United States from an Asian country. The client is depressed and is neither sleeping nor eating well. In order to best facilitate the client's care in a culturally competent manner, the nurse:
- A. Encourages the client's adult children to visit as often as possible especially around meals and bedtime.
- B. Assesses the client's ability to understand the importance of both eating and sleeping in a healthy manner.
- C. Discusses interventions that may support the client in sleeping and eating with the adult members of the family.
- D. Requests a consult with the dietitian to discuss how to supplement the client's diet while using food to effectively promote sleep.
Correct Answer: C
Rationale: Rationale:
1. Choice C is correct as it involves discussing interventions with the family, respecting the client's cultural norms and involving them in the care plan.
2. Choice A assumes family involvement without assessing the client's preferences or cultural beliefs, potentially imposing Western values.
3. Choice B focuses solely on individual assessment without considering the importance of family dynamics in the client's culture.
4. Choice D addresses dietary concerns but overlooks the holistic approach of involving the family in the care plan.
In general, what are the two common areas in schools in which children with hearing loss have troubles?
- A. Science and social studies
- B. One in four
- C. Reading and writing
- D. Math and science
Correct Answer: C
Rationale: Hearing loss impacts language skills, affecting reading and writing most.
Using Bowen’s systems approach with a family in therapy, the therapist would:
- A. Try to change family principles that may be promoting dysfunctional behavior patterns.
- B. Strive to create change in destructive behavior through improvement in communication and interaction patterns.
- C. Encourage increase in the differentiation of individual family members.
- D. Promote change in dysfunctional behavior by encouraging the formation of more diffuse boundaries between family members.
Correct Answer: C
Rationale: The correct answer is C because in Bowen's systems approach, the therapist focuses on increasing the differentiation of individual family members. This means helping each member develop their own sense of self and become more autonomous within the family system. By doing so, family members can better manage their emotions and relationships, leading to healthier dynamics.
Choice A is incorrect because Bowen's approach does not aim to change family principles but rather focuses on individual growth within the family system. Choice B is incorrect because the emphasis is not solely on improving communication but rather on enhancing differentiation. Choice D is incorrect because promoting more diffuse boundaries can actually lead to further dysfunction, as Bowen's approach emphasizes strengthening individual boundaries for healthier family functioning.
What is important to consider when evaluating the dose of lithium to be administered?
- A. Narrow therapeutic index - too little will not produce effects
- B. while too much can cause toxicity
- C. Divalproex (Depakote)
- D. Tachycardia
Correct Answer: A
Rationale: The correct answer is A because lithium has a narrow therapeutic index, meaning the difference between a therapeutic dose and a toxic dose is small. Therefore, it is crucial to carefully consider the dose to avoid subtherapeutic effects or toxicity. Option B is incorrect because it only focuses on the toxicity aspect of lithium, ignoring the importance of therapeutic effects. Option C, Divalproex, is irrelevant to the dosing of lithium. Option D, Tachycardia, is also irrelevant to lithium dosing considerations. It is essential to prioritize the therapeutic index when evaluating the dose of lithium for safe and effective treatment.
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