Nokea
Which statement about targeted assessments is accurate?
- A. The need for a targeted assessment is based on the application of the nurse's knowledge of pathophysiology and the presenting symptoms.
- B. The need for a targeted assessment is based on the application of the nurse's knowledge of developmental needs and developmental delays.
- C. Targeted assessment is done on an annual basis for existing clients rather than a complete assessment that is done for new clients.
- D. Targeted assessments consist of a brief medical history and a complete assessment consists of a complete health history and a complete physical assessment.
Correct Answer: A
Rationale: Targeted assessments (A) focus on specific symptoms using pathophysiology.
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The role of Primary care physician's in the treatment of mental illnesses in the community is deemed:
- A. More costly.
- B. Less convenient.
- C. Only for continuing the care of follow-up or discharged cases.
- D. Ideal for detecting and treating early illnesses.
Correct Answer: D
Rationale: PCPs are well-placed to detect and treat mental illnesses early due to their accessibility and ongoing patient relationships.
A member of a group verbally lashes out at the nurse leading the discussion on assuming responsibility for behaviors. When the individual states, 'I was abused as a child by my father; you can't make me take responsibility for all the problems he created for me,' the nurse replies:
- A. Can we talk about when your father started abusing you?'
- B. This is a safe place to express your anger about the abuse and about your father.'
- C. May I suggest we end the session today so you don't direct your anger toward me?'
- D. I sense that you have unresolved issues with your father but we need to work on your anger.'
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the individual's feelings of anger and provides a safe space for expression. By validating their emotions and offering support, the nurse can help the individual process their past trauma. Choice A focuses solely on the abuse timeline and may not address the immediate emotional need. Choice C avoids the issue and may not help the individual address their feelings constructively. Choice D acknowledges the unresolved issues but doesn't actively support the individual in expressing their emotions. In summary, choice B is the most appropriate as it validates the individual's feelings and offers a safe environment for emotional expression.
Which intervention is likely to have the greatest positive impact on a client who has a history of medication noncompliance?
- A. Being admitted to an inpatient facility until his medication is at therapeutic levels
- B. Enrollment in an in-home psychiatric nursing service that provides his medication by injection
- C. Required attendance at an outpatient daycare program that focuses on reinforcing self-care skills
- D. Having the client sign a compliance contract that states his prescriptions will be free if he is compliant
Correct Answer: B
Rationale: The correct answer is B because enrolling the client in an in-home psychiatric nursing service that provides medication by injection ensures medication adherence. This intervention eliminates the need for the client to remember to take oral medication, reducing the risk of noncompliance. Inpatient admission (A) may not address the root cause of noncompliance and can be restrictive. Outpatient daycare (C) may not directly address medication adherence. A compliance contract (D) may not address the practical challenges of medication administration. Overall, choice B directly addresses the issue of medication noncompliance by providing a practical solution.
Health related behavior include:
- A. A.Smoking
- B. Eating
- C. pain control
- D. all of these
Correct Answer: D
Rationale: Health behaviors like smoking, eating, and pain control are influenced by self-efficacy (Bandura).
The nurse notes that a patient with AIDS is prescribed trimethoprim-sulfamethoxazole (Bactrim). For which opportunistic infection should the nurse realize that is this medication indicated?
- A. Tuberculosis
- B. Cytomegalovirus retinitis
- C. Mycobacterium avium complex
- D. Pneumocystis jiroveci pneumonia
Correct Answer: D
Rationale: The correct answer is D: Pneumocystis jiroveci pneumonia. Trimethoprim-sulfamethoxazole is indicated for prophylaxis and treatment of Pneumocystis jiroveci pneumonia, a common opportunistic infection in patients with AIDS. This medication combination is effective in preventing this specific infection due to its spectrum of antimicrobial activity against Pneumocystis jiroveci. Choices A, B, and C are incorrect as trimethoprim-sulfamethoxazole is not primarily indicated for tuberculosis, cytomegalovirus retinitis, or Mycobacterium avium complex.