Which of the following questions is an effective way to elicit a Patient's explanatory model of illness regarding tuberculosis symptoms?
- A. What is your understanding of tuberculosis?
- B. How long have you had tuberculosis?
- C. Does your family have a history of tuberculosis?
- D. Have you ever been tested for tuberculosis?
Correct Answer: A
Rationale: This question invites patients to share their beliefs about the illness, key to understanding their perspective.
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You are caring for a client who has been taking illicit amphetamines and states that they continue to use this illicit drug because they 'suffer and feel lousy' when they try to stop taking it. Which nursing diagnosis is the most appropriate for this client?
- A. Psychological dependence secondary to amphetamine use
- B. Substance abuse secondary to amphetamine use
- C. Addiction secondary to amphetamine use
- D. Physical dependence secondary to amphetamine use
Correct Answer: D
Rationale: Physical dependence (D) is indicated by withdrawal symptoms.
The registered nurse, prior to the delegation of tasks to other members of the nursing care team, evaluates the ability of staff members to perform assigned tasks for the position as based on which legal consideration?
- A. The American Nurses Association's Scopes of Practice
- B. The American Nurses Association's Standards of Care
- C. State statutes
- D. Federal law
Correct Answer: C
Rationale: State statutes define the legal scope of practice for nurses and other healthcare personnel.
And Ivan Pavlov are pioneers of psychology
- A. Sigmund Freud
- B. Jean Piaget
- C. B.F. Skinner
- D. Both A and C
Correct Answer: C
Rationale: Skinner and Pavlov pioneered behavioral psychology.
The most appropriate crisis intervention with Amanda (from question 3) would be to:
- A. Encourage her to recognize how lucky she is to be alive.
- B. Discuss stages of grief and feelings associated with each.
- C. Identify community resources that can help Amanda.
- D. Suggest that she find a place to live that provides a storm shelter.
Correct Answer: C
Rationale: The correct answer is C because identifying community resources can provide immediate support and assistance to Amanda during the crisis. This approach focuses on practical help and solutions tailored to her specific needs. Encouraging her to recognize her luck (A) may invalidate her feelings, discussing grief stages (B) may not address her immediate needs, and suggesting finding a place with a storm shelter (D) does not directly address her current crisis.
Which of the following lifestyle changes is most likely to decrease a patient's risk of coronary heart disease?
- A. Switching from 2% milk to 1% low-fat milk
- B. Exercising on a daily basis
- C. Taking a multivitamin supplement
- D. Cutting back on work schedule
Correct Answer: B
Rationale: Daily exercise significantly reduces coronary heart disease risk.