Nokea
Which of the following statements is true about ad hoc interpreters?
- A. They are generally preferred over using hospital employees
- B. They almost always have experience with medical terminology
- C. They are generally less useful than trained medical interpreters
- D. They always contribute to better health care experiences
Correct Answer: C
Rationale: Ad hoc interpreters lack the training and accuracy of professional interpreters.
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Which of these is not one of the principles that underlie Fellin's multicultural perspective
- A. It should be inclusive of all subcultural groups that are viewed as distinct yet interdependent with mainstream US culture
- B. It should recognize that not all members of US society engage in relationships within their various cultures and in relation to a mainstream US culture
- C. It should recognize the changing nature of US society as it is continually influenced by all of its subcultures
- D. The relationship the Social Worker has with one or two family members influences his or her alliance with other family members in a linear fashion.
Correct Answer: D
Rationale: Fellin's principles focus on societal dynamics, not linear therapeutic relationships.
What benzodiazepines are commonly given to patients experiencing symptoms related to alcohol withdrawal?
- A. Valium
- B. Ativan
- C. Librium
- D. Sedation
Correct Answer: A
Rationale: Step-by-step rationale:
1. Valium (Diazepam) is commonly used in alcohol withdrawal due to its long-acting properties and effectiveness in managing symptoms.
2. Ativan (Lorazepam) is also used, but Valium is preferred for its longer duration of action.
3. Librium (Chlordiazepoxide) is another option with a long half-life, but Valium is more commonly used.
4. Sedation is not a benzodiazepine and does not directly address alcohol withdrawal symptoms.
In summary, Valium is preferred for alcohol withdrawal due to its long-acting properties, followed by Ativan and Librium. Sedation is not a benzodiazepine and does not treat alcohol withdrawal symptoms.
A patient admitted to an alcoholism rehabilitation program says, 'I’m just a social drinker. I usually have a drink or two at brunch, a few cocktails in the afternoon, wine at dinner, and several drinks during the evening.' Which defense mechanism is evident?
- A. Rationalization
- B. Introjection
- C. Projection
- D. Denial
Correct Answer: D
Rationale: The correct answer is D: Denial. The patient's statement reflects denial as they are minimizing their alcohol consumption by categorizing it as normal social drinking. Denial is a defense mechanism where a person refuses to acknowledge a reality or truth to protect themselves from anxiety or discomfort. In this scenario, the patient is not accepting the reality of their excessive drinking habits.
Explanation for other choices:
A: Rationalization - This defense mechanism involves justifying behavior with logical reasoning. The patient is not providing logical reasoning for their drinking habits.
B: Introjection - This defense mechanism involves internalizing external beliefs or values. The patient's statement does not indicate internalizing external beliefs.
C: Projection - This defense mechanism involves attributing one's unacceptable thoughts or emotions to others. The patient is not projecting their drinking habits onto others.
A patient arrives at the hospital and describes his inability to achieve an erection after taking his Zoloft for the last three months. The nurse instructs:
- A. Can discuss switching medications with physician
- B. but do not abruptly stop taking medication - can cause withdrawal symptom
- C. Polyuria
- D. Weight gain
Correct Answer: A
Rationale: Step 1: Zoloft is known to cause sexual side effects like erectile dysfunction.
Step 2: The nurse should recommend discussing switching medications with the physician to address the issue.
Step 3: Switching medications may help alleviate the erectile dysfunction without compromising the patient's mental health treatment.
Summary:
Option A is correct as it directly addresses the patient's concern and offers a potential solution. Options B, C, and D are incorrect as they are unrelated to the patient's issue with erectile dysfunction caused by Zoloft.
The initial step in providing effective mental health-focused public health services is:
- A. Securing adequate funding to support needed psychiatric services.
- B. Identifying key providers to assure the delivery of required services.
- C. Surveying the targeted community to identify needs of the high-risk groups.
- D. Recruiting community leaders to provide support for utilization of provided services.
Correct Answer: C
Rationale: The correct answer is C because surveying the targeted community helps identify specific mental health needs and high-risk groups. This information is crucial for tailoring services effectively. Securing funding (A) is important but comes after understanding community needs. Identifying key providers (B) is necessary but should follow community assessment. Recruiting leaders (D) is helpful but not as essential as understanding community needs. In summary, option C is correct as it lays the foundation for designing appropriate mental health services.