Which of the following questions can be used to initiate the process of 'LEARNing?'
- A. When can I see you again?
- B. What do you think your sickness does to you?
- C. Have you been taking your medication?
- D. When was the last time you came in?
Correct Answer: B
Rationale: This question elicits the patient's explanatory model, a key step in the LEARN framework.
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Schizophrenia is a serious mental illness with a lifetime prevalence of X percent. What is X?
- A. 0.1
- B. 0.7
- C. 3.5
- D. 5
Correct Answer: B
Rationale: Epidemiological data indicates that schizophrenia has a lifetime prevalence of approximately 0.7%, making B the correct answer.
Metabolic syndrome includes low HDL-C and elevated blood pressure defined in men by which of the following?
- A. HDL-C <50 mg/dL and blood pressure ≥120/75 mm Hg
- B. HDL-C <40 mg/dL and blood pressure ≥130/85 mm Hg
- C. HDL-C <35 mg/dL and blood pressure ≥135/85 mm Hg
- D. HDL-C <30 mg/dL and blood pressure ≥140/90 mm Hg
Correct Answer: B
Rationale: Standard criteria define low HDL-C as <40 mg/dL and hypertension as ≥130/85 mm Hg in men.
The psychological test measure verbal ability is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: C
Rationale: The WAIS includes verbal comprehension subtests to measure verbal ability.
A nurse manager notices that a staff member spends minimal time with a patient diagnosed with AIDS who is terminally ill. The patient says, Im having intense emotional reactions to this illness. Sometimes I feel angry, but other times I feel afraid or abandoned. The nurse manager can correctly hypothesize that the most likely reason for the staff members avoidance is:
- A. fear of infection transmission.
- B. feelings of inadequacy in dealing with complex emotional needs.
- C. knowledge that the patient needs time alone with family and friends.
- D. belief that the patients former lifestyle included high-risk behaviors.
Correct Answer: B
Rationale: Many nurses tend to be more comfortable with meeting physical needs than in focusing on complex emotional needs. Standard precautions are necessary for all patients. The patients lifestyle is irrelevant.
You will be administering packed red blood cells to your client. Which of the following principles should you apply to this blood administration?
- A. You must insure that the client has a patent intravenous catheter that is at least 20 gauge.
- B. You will need the help of another nurse prior to the administration of these packed red blood cells.
- C. The unit of packed red blood cells should start no more than 1 hour after it is picked up.
- D. You must remain with the client and monitor the client for at least 30 minutes after the transfusion begins.
Correct Answer: C
Rationale: Blood must be started within 1 hour (C) to prevent spoilage.