Nokea
Which of the following statement is NOT true about developmental stages?
- A. Based on age only
- B. Includes physical changes
- C. Includes psychosocial changes
- D. Proposed by Erikson
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The physician has ordered amoxicillin (Amoxil) for a client with a sinus infection. Before administering the medication, the nurse should ask the client if he is allergic to:
- A. Codeine
- B. Aspirin
- C. Penicillin
- D. Sulfa drugs
Correct Answer: C
Rationale: Penicillin allergy must be assessed before amoxicillin, a penicillin derivative, to prevent anaphylaxis in a sinus infection client codeine, aspirin, and sulfa aren't related. Nurses confirm allergies, ensuring safe antibiotic administration, critical for infection resolution without adverse reactions.
A client with dysphagia and at risk for aspiration needs care planning. Which intervention should the nurse include in the plan?
- A. Encourage the client to drink thickened liquids.
- B. Instruct the client to swallow with chin tucked.
- C. Provide the client with a cup with a lid.
- D. Place the client in Fowler's position for meals.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a new prescription for total parenteral nutrition (TPN). Which of the following actions should the nurse plan to take?
- A. Obtain a random blood glucose daily.
- B. Change the IV tubing every 72 hours.
- C. Apply a new dressing to the IV site every 24 hours.
- D. Weigh the client weekly.
Correct Answer: A
Rationale: When a client is on total parenteral nutrition (TPN), monitoring blood glucose levels daily is crucial to manage and detect complications like hyperglycemia, which can occur due to the high glucose content in TPN solutions. Regular blood glucose monitoring helps the healthcare team adjust the TPN infusion rate to maintain optimal glucose levels and prevent adverse events.
Mr. Gary's heart rate increased when he heard about his surgery. This is an example of which stage of GAS?
- A. Alarm
- B. Resistance
- C. Exhaustion
- D. Recovery
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following therapies is based on 'learning theory'?
- A. Behaviour therapy
- B. Psychoanalytic
- C. Milieu Therapy
- D. Cognitive therapy
Correct Answer: A
Rationale: Learning theory underpins therapies that modify behavior through principles like conditioning. Behaviour therapy (choice A) directly applies learning theory, using techniques such as operant conditioning (rewards/punishments) and classical conditioning (stimulus-response pairing) to address maladaptive behaviors, like phobias or addiction. Psychoanalytic therapy (choice B) focuses on unconscious conflicts and past experiences, rooted in Freudian theory, not learning principles. Milieu therapy (choice C) emphasizes a therapeutic environment to foster social learning, but it's not strictly based on learning theory's conditioning mechanisms. Cognitive therapy (choice D) targets thought patterns to change behavior, incorporating some learning elements but primarily stemming from cognitive psychology. Choice A is correct because behaviour therapy explicitly relies on learning theory's framework, systematically altering behaviors through reinforcement or desensitization. Nurses use this in practice, such as in managing anxiety disorders with exposure techniques, highlighting its relevance in clinical settings where observable behavior change is the goal.