Nokea
Which of the following services would be especially helpful for terminally ill Muslim patients?
- A. Referring the patient for additional tests
- B. Negotiating a plan for outside visitors, especially the Imam
- C. Providing patients with motivational pamphlets
- D. Serving regular hospital meals
Correct Answer: B
Rationale: Facilitating Imam visits supports spiritual needs, crucial for Muslim patients at end-of-life.
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While collecting admission data, the nurse suspects a patient with AIDS is experiencing an HIV-associated neurocognitive disorder. What observations did the nurse make to come to this conclusion? (Select all that apply.)
- A. Audible bowel sounds
- B. Inappropriate laughter
- C. Inability to state home address
- D. Knee buckling while walking
Correct Answer: B
Rationale: The correct answer is B: Inappropriate laughter. Inappropriate laughter is a common symptom of HIV-associated neurocognitive disorder, indicating cognitive impairment. This symptom is often observed in patients with AIDS and can be indicative of changes in behavior and emotional responses.
Audible bowel sounds (A) are not specifically related to HIV-associated neurocognitive disorder. Inability to state home address (C) may indicate memory impairment but is not a specific symptom of this disorder. Knee buckling while walking (D) is more related to physical weakness or balance issues rather than cognitive impairment associated with HIV.
A 16-year-old adolescent is hospitalized and acting like a child. According to Erik Erikson, what is the appropriate developmental task?
- A. Industry vs. inferiority
- B. Integrity vs. despair
- C. Identity vs. role confusion
- D. Trust vs. mistrust
Correct Answer: C
Rationale: A 16-year-old is experiencing role confusion perhaps in response to the stress of hospitalization.
The most appropriate nursing intervention with Jenny (from question 5) would be to:
- A. Make arrangements for her to start attending Alateen meetings.
- B. Help her identify the positive things in her life and recognize that her situation could be a lot worse than it is.
- C. Teach her about the effects of alcohol on the body and that it can be hereditary.
- D. Refer her to a psychiatrist for private therapy to learn to deal with her home situation.
Correct Answer: A
Rationale: The correct answer is A because Alateen meetings provide support and understanding for teenagers living with family members struggling with alcoholism. Attending these meetings can help Jenny feel less alone, gain coping strategies, and build a support network with peers in similar situations.
Choice B is incorrect as it minimizes Jenny's struggles and may invalidate her feelings. Choice C focuses on the biological aspect of alcoholism, which may not address Jenny's emotional needs. Choice D involves a referral to a psychiatrist for private therapy, which may not provide the peer support and understanding that Alateen meetings can offer.
The Montessori approach believes materials should be
- A. Teacher-provided
- B. Child-selected
- C. Standardized
- D. Simple
Correct Answer: B
Rationale: Montessori materials are child-selected to encourage autonomy.
he Montessori approach believes that discipline should be
- A. External
- B. Internal
- C. Punitive
- D. Authoritative
Correct Answer: B
Rationale: Montessori promotes internal discipline through self-regulation, not external enforcement.