Nokea
Which statement by the nurse will have the greatest impact on medication adherence for a client diagnosed with depression?
- A. I can see about getting your medication for free if you promise to take it.'
- B. You will feel so much better if you take your medication as we've discussed.'
- C. Taking this medication will help you start enjoying the time you spend with your grandchildren again.'
- D. Take your medication and the depression you are feeling will go away and you'll be your old self again.'
Correct Answer: C
Rationale: The correct answer is C because it emphasizes a positive outcome that is personally meaningful to the client - enjoying time with grandchildren. This statement motivates the client by linking medication adherence to a specific benefit that holds significance for them. Option A involves a conditional offer which may not address the client's underlying motivation. Option B focuses on general improvement without personalizing it, and Option D oversimplifies the complexity of depression recovery. In summary, Option C is the most effective as it connects medication adherence to a specific and meaningful goal for the client.
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Why might an immigrant patient be reluctant to participate in DOT?
- A. Immigrant patients are fearful of medical authority
- B. The patient may be fearful because of the loss of privacy or cultural misunderstanding
- C. The patient may have had a similar experience in his/her native country
- D. The patient may feel that DOT will make the illness worse
Correct Answer: B
Rationale: Privacy loss and cultural differences often deter immigrants from DOT participation.
The greatest benefit derived from current work being done related to pharmacogenetics is that:
- A. The cost of medication manufacturing will be drastically reduced.
- B. Research and development of new drugs will be much less costly.
- C. Medications will be designed so that they do not cause unwanted side effects.
- D. Medications will be formulated so that only one dose per day will be required.
Correct Answer: C
Rationale: The correct answer is C because pharmacogenetics allows medications to be designed based on an individual's genetic makeup, minimizing unwanted side effects. This is beneficial as it enhances treatment effectiveness and safety. Choice A is incorrect as cost reduction in manufacturing is not the primary focus of pharmacogenetics. Choice B is incorrect as research and development costs are not directly impacted by pharmacogenetics. Choice D is incorrect as the frequency of medication dosing is not the main benefit derived from pharmacogenetics.
A patient who has HIV asks the nurse why blood work has to be done so frequently. Which response should the nurse make to the patient?
- A. B-lymphocyte levels increase if you have an acute infection.'
- B. Phagocytes are decreased when the disease is in an active phase.'
- C. Neutrophil counts help the doctor titrate medication levels to keep you healthy.'
- D. CD4+ lymphocyte counts are monitored to determine the progression of the disease.'
Correct Answer: D
Rationale: The correct answer is D because monitoring CD4+ lymphocyte counts is crucial in managing HIV. CD4+ cells are the primary target of the HIV virus, and their count reflects the status of the immune system and disease progression. By tracking CD4+ levels, healthcare providers can determine the need for antiretroviral therapy and assess the effectiveness of treatment.
Choice A is incorrect because B-lymphocytes are not typically used to monitor HIV progression. Choice B is incorrect as phagocytes are not specifically related to HIV disease progression. Choice C is incorrect as neutrophils are not the primary indicator for managing HIV.
Which of the following abilities is promoted through the use of trained medical interpreters?
- A. Ability to have 'small talk' with patients
- B. Ability to diagnose psychosocial disorders
- C. Ability to address adherence issues
- D. Ability to educate patients about their medications
Correct Answer: C
Rationale: Interpreters clarify instructions, directly aiding adherence discussions.
Which of the following are risk factors for pathological gambling?
- A. Impulsivity.
- B. Alcohol abuse.
- C. Parents who gamble.
- D. All of the above
Correct Answer: D
Rationale: All listed factors"impulsivity, alcohol abuse, parental gambling, and tolerance"are recognized risk factors for developing pathological gambling.