Nokea
Which of the following statements about drinking patterns in Irish immigrants is true?
- A. Irish immigrants are no more likely to consume alcohol than indigenous groups
- B. Irish immigrants drink more frequently than all other groups
- C. Irish immigrants have better tolerance than all other groups
- D. Irish immigrants are more likely to binge-drink than most other groups
Correct Answer: D
Rationale: Studies show Irish immigrants have higher binge-drinking rates.
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Which of the following is common among indigent, rural Appalachian patients?
- A. Perceived socioeconomic discrimination
- B. Lack of knowledge about preventive health care
- C. Sexually transmitted infections
- D. Willingness to adhere to prescribed medications
Correct Answer: A
Rationale: Perceived discrimination is prevalent due to socioeconomic disparities.
Women from which of the following groups are least likely to perceive themselves as overweight?
- A. African American
- B. Caucasian
- C. Asian
- D. Native American
Correct Answer: A
Rationale: Studies show African American women are less likely to perceive themselves as overweight compared to other groups due to cultural differences in body image perception.
A patient who was admitted for a heroin overdose received naloxone (Narcan), which improved the breathing pattern. Two hours later, the patient reports muscle aches, abdominal cramps, gooseflesh and says, 'I feel terrible.' Which analysis is correct?
- A. The patient is exhibiting a prodromal symptom of seizures.
- B. An idiosyncratic reaction to naloxone is occurring.
- C. Symptoms of opiate withdrawal are present.
- D. The patient is experiencing a relapse.
Correct Answer: C
Rationale: The correct analysis is C: Symptoms of opiate withdrawal are present. The patient's presentation of muscle aches, abdominal cramps, gooseflesh, and feeling terrible are classic symptoms of opiate withdrawal. Naloxone, as an opioid antagonist, reversed the effects of heroin leading to withdrawal symptoms. This is a typical response seen in patients who have been given naloxone to counteract opioid overdose. Choices A and B are incorrect as they do not align with the patient's clinical presentation and pharmacological understanding. Choice D is also incorrect as there is no indication that the patient has resumed heroin use.
What are the common side effects of the anticonvulsant Divalproex (Depakote)?
- A. GI upset
- B. Headache
- C. Dizziness
- D. Weight gain
Correct Answer: A
Rationale: The correct answer is A: GI upset. Divalproex is known to cause gastrointestinal (GI) upset as a common side effect, including symptoms like nausea, vomiting, and diarrhea. This is due to its irritant effect on the stomach lining.
B: Headache - While headache can be a side effect of some medications, it is not a common side effect of Divalproex.
C: Dizziness - Dizziness can occur as a side effect of Divalproex, but it is less common compared to GI upset.
D: Weight gain - Weight gain is a known side effect of Divalproex, but it is not as common as GI upset. Weight gain typically occurs over time with long-term use.
What type of therapy is 'person-centered' and utilizes a method of communication rather than a set of techniques?
- A. Motivational interviewing
- B. Cognitive Behavioral Therapy (CBT)
- C. Narrative Therapy
- D. Existential Therapy
Correct Answer: A
Rationale: The correct answer is A: Motivational interviewing. This therapy aligns with the person-centered approach by focusing on empathetic listening, understanding the client's perspective, and fostering self-motivation for change. It emphasizes a collaborative and non-confrontational communication style, allowing clients to explore and resolve ambivalence towards behavior change. The other choices (B: CBT, C: Narrative Therapy, D: Existential Therapy) involve structured techniques and interventions rather than solely relying on communication to facilitate change.