Nokea
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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A patient newly diagnosed with pancreatic cancer says, My father also died of pancreatic cancer. I took care of him during his illness. I can't go through that. Select the highest priority nursing diagnosis.
- A. Anticipatory grieving
- B. Ineffective coping
- C. Ineffective denial
- D. Risk for suicide
Correct Answer: D
Rationale: The patients statement has a subtle message of suicide. Suicide is a risk for people with major losses, including terminal disease. The nurse will need to monitor the suicide risk vigilantly. The other diagnoses may apply but are lower priority.
he theorist who believes that human behavior is influenced by environment is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: C
Rationale: B.F. Skinner's behaviorism attributes behavior to environmental stimuli.
Psychotropic medications that block the acetylcholine receptor may result in which of the following side effects?
- A. Dry mouth
- B. Sexual dysfunction
- C. Nausea
- D. Priapism
Correct Answer: A
Rationale: Blocking acetylcholine receptors, often seen with anticholinergic medications, frequently causes dry mouth due to reduced salivary gland activity, aligning with option a.
Which nursing intervention best demonstrates an understanding of the effects of mental illness in the creation of secondary at-risk populations?
- A. Educating junior high school students concerning the dangers of drug and alcohol abuse
- B. Assessing the parenting skills of a father diagnosed with obsessive-compulsive disorder (OCD)
- C. Assessing the friends of a teenager who was recently hospitalized for an eating disorder for signs of the same disorder
- D. Providing the parents of a child diagnosed with obsessive-compulsive disorder (OCD) with information on behavior modification
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct:
1. Mental illness can impact parenting skills.
2. Assessing parenting skills of a father with OCD is crucial to understand potential risks to the child.
3. OCD may affect parenting abilities, leading to neglect or inappropriate care.
4. By assessing parenting skills, nurses can identify and address risks to the child's well-being.
Summary of why other choices are incorrect:
A: Educating junior high students on drug abuse is important but does not directly address at-risk populations created by mental illness.
C: Assessing friends for signs of eating disorders is relevant but does not focus on understanding the impact of mental illness on caregiving roles.
D: Providing information on behavior modification to parents is helpful but does not directly assess the impact of mental illness on parenting skills.
A patient asks, 'What is the main purpose of these medications I take for my HIV?' Which response should the nurse make?
- A. They encapsulate the virus-infected cells.'
- B. They mark the virus for natural killer cells to destroy.'
- C. They attract macrophages to the cells making the virus.'
- D. They inhibit enzymes to interfere with viral production.'
Correct Answer: D
Rationale: The correct answer is D because antiretroviral medications used for HIV treatment work by inhibiting enzymes essential for viral replication, thus interfering with viral production. This prevents the virus from multiplying and spreading in the body. Option A is incorrect as medications do not encapsulate virus-infected cells. Option B is incorrect as the medications do not mark the virus for natural killer cells. Option C is incorrect as medications do not attract macrophages to the cells.