Nokea
Which of these is not one of Biesteks's Seven Principles of Relationship
- A. Acceptance
- B. Independence
- C. Controlled emotional involvement
- D. Confidentiality
Correct Answer: B
Rationale: Independence is not among Biestek's original seven; the others are core principles.
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Which of the following is an ethical obligation of physicians?
- A. Patience
- B. Veracity
- C. Mercy
- D. Honor
Correct Answer: B
Rationale: Veracity, or truthfulness, is a core ethical duty in medicine.
A client who has been prescribed chronotherapy for disrupted sleep patterns resulting from his chronic depression tells the nurse that he can't afford to stay in the hospital for the treatments since he has to get back to work. The nurse responds that:
- A. The therapy requires only a few treatments that can be accomplished in just a few days.
- B. Most employers will view the treatments as a medical necessity and provide sick leave.
- C. He can administer the treatments at home once he is trained to do so.
- D. His treatment team will discuss outpatient alternatives to this form of therapy.
Correct Answer: C
Rationale: Rationale for choice C (correct answer):
1. Chronotherapy involves timed exposure to light and darkness to regulate sleep patterns.
2. The nurse suggests the client can administer the treatments at home once trained, indicating it's feasible.
3. This empowers the client to continue treatment while balancing work obligations.
4. It ensures continuity of care and adherence to the therapy plan.
Summary of other choices:
A: Incorrect - Chronotherapy requires multiple treatments over several weeks, not just a few days.
B: Incorrect - While some employers may provide sick leave, it's not guaranteed and may not cover the entire treatment duration.
D: Incorrect - While outpatient alternatives may be discussed, administering at home is more practical for this client's situation.
When administering medications, a nurse would hold which medication for a patient who presents with jaundice? A. Valium B. Divalproex (Depakote) C. Lithium D. Verapamil
- A. Valium
- B. Divalproex (Depakote)
- C. Lithium
- D. Verapamil
Correct Answer: B
Rationale: The correct answer is B: Divalproex (Depakote). Jaundice is a condition characterized by yellowing of the skin and eyes due to liver dysfunction. Divalproex is metabolized in the liver, and in patients with jaundice, liver function may be compromised, leading to potential toxicity. Therefore, holding Divalproex for a patient with jaundice is essential to prevent further liver damage.
A: Valium is primarily metabolized in the liver, but it is generally safe to use in patients with mild to moderate liver impairment.
C: Lithium is primarily cleared through the kidneys, so liver dysfunction would not directly impact its clearance.
D: Verapamil is also primarily metabolized in the liver, but it is not contraindicated in patients with jaundice unless there is severe liver impairment.
Which statement best demonstrates the current status of the benefit of family involvement to the individual who is mentally ill?
- A. Family involvement is limited by the current confidentiality laws enforced by HIPAA.
- B. Family involvement is best stressed once the individual's mental health status has been stabilized.
- C. Despite education, families are generally ill prepared to significantly impact the mental health of their family member.
- D. While the benefits are well documented, the service is not consistently offered in the majority of mental health systems.
Correct Answer: D
Rationale: The correct answer is D because it highlights the current status of the benefit of family involvement for individuals who are mentally ill. It acknowledges that while the benefits of family involvement are well documented, the actual service is not consistently offered in most mental health systems. This indicates a gap between research evidence and practical implementation, hindering the full realization of the benefits.
Explanation for why other choices are incorrect:
A: Incorrect because although confidentiality laws like HIPAA may pose challenges, they do not necessarily limit family involvement entirely.
B: Incorrect because family involvement is crucial throughout the mental health journey, not just after stabilization.
C: Incorrect because with proper support and resources, families can have a significant impact on the mental health of their loved ones.
Children develop autonomy between
- A. 0-1 year
- B. 1-3 years
- C. 3-5 years
- D. 5-7 years
Correct Answer: B
Rationale: Autonomy vs. shame/doubt (1-3 years, Erikson) builds independence.