Nokea
Which of the following physician barriers can affect a patient's adherence?
- A. Lack of insight into the patient's illness
- B. Inadequate explanation of instructions
- C. Cost of medications or treatment
- D. Distraction by other life issues or priorities
Correct Answer: B
Rationale: Clear instructions are critical for adherence; inadequate explanations often lead to misunderstanding and non-compliance.
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Mr Tan has been visiting the casino on weekends with his friends for the past 6 months, and would stay through the night on Saturdays. He recently returned at dawn in drunken stupor. His wife Mrs Tan relates this problem to you saying that she tries to stop him but he refused. He says he only gambles a fixed amount each session. He works as a technician and does not have problems at work, he says he likes gambling including buying 4D, but has no debt. He spends less and less time with the family and Mrs Tan is very worried. Mr Tan is likely to have problems associated with
- A. Social gambling.
- B. At risk gambling.
- C. Problem gambling.
- D. Pathological gambling.
Correct Answer: B
Rationale: Mr. Tan's behavior shows increased gambling frequency and family concern, but no severe financial or occupational impact, aligning with at-risk gambling.
The psychological test measure aptitude is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. DAT
Correct Answer: D
Rationale: The DAT (Differential Aptitude Test) assesses specific abilities or aptitudes.
Identify and define the five stages of change addressed in motivational interviewing.
- A. Precontemplation: denial of problem; goal is to create awareness of the problem
- B. Contemplation: recognizing the need to change; goal is to increase motivation
- C. Determination: planning and committing to action
- D. Action: applying the change in real situations
Correct Answer: A
Rationale: The correct answer is A: Precontemplation: denial of problem; goal is to create awareness of the problem. In motivational interviewing, the first stage is Precontemplation, where the individual is unaware or in denial of the problem. The goal is to help them recognize the issue and increase awareness.
Choice B (Contemplation) is incorrect because it comes after Precontemplation and involves recognizing the need to change, not denial. Choice C (Determination) is incorrect as it follows Contemplation and involves planning and committing to action. Choice D (Action) is incorrect as it is the stage where the individual applies the change, which comes after Determination.
A parent is admitted to a chemical dependency treatment unit. The patients spouse and adolescent children participate in a family session. What is the most important aspect of this familys assessment?
- A. Spouses codependent behaviors
- B. Interactions among family members
- C. Patients reaction to the familys anger
- D. Childrens responses to the family sessions
Correct Answer: B
Rationale: Interactions among all family members are the raw material for family problem solving. By observing interactions, the nurse can help the family make its own assessments of strengths and deficits. The other options are narrower in scope when compared with the correct option.
Which statement demonstrates the effective implementation of evidence-based practice guidelines?
- A. A nurse explains that, 'Negative responses to suicidal ideation assessments are documented on each client diagnosed with depression at least once a shift.'
- B. A family member states that, 'My mother has been introduced to an antipsychotic medication that has significantly decreased her paranoia.'
- C. A nursing assistant's comment that, 'Working here is a very rewarding job since I can help those who are really in need.'
- D. A client reports, 'I'm so happy I was admitted to this mental health unit because they really care about me here.'
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the systematic and consistent implementation of evidence-based practice guidelines in documenting negative responses to suicidal ideation assessments for clients diagnosed with depression. This approach ensures that crucial information is captured regularly, aiding in monitoring and managing the clients' mental health effectively.
Choice B focuses on the outcome of a specific treatment but does not directly address the implementation of evidence-based practice guidelines. Choice C expresses personal satisfaction rather than adherence to guidelines. Choice D reflects the client's subjective opinion and does not provide evidence of following specific guidelines. Thus, A is the correct choice as it directly relates to evidence-based practice implementation.