Nokea
Why are tricyclic antidepressants infrequently used?
- A. Have many side effects
- B. Have many interactions with other medications
- C. Can cause cardiac problems
- D. Lethal in overdose
Correct Answer: A
Rationale: The correct answer is A because tricyclic antidepressants have numerous side effects such as dry mouth, constipation, weight gain, and sedation. These side effects can be intolerable for patients, leading to poor adherence. Choices B, C, and D are incorrect because while tricyclic antidepressants can have interactions with other medications, cause cardiac problems, and be lethal in overdose, these factors alone do not fully explain why they are infrequently used compared to other antidepressant options. The primary reason for their limited use lies in their significant side effect profile.
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Which statement made by a family member of an individual recently diagnosed with schizophrenia supports the nurse's assessment that the family will respond well to care strategies that support the competence model of care?
- A. How long will it be before he will need to be cared for by others?'
- B. Is his illness chronic or does he have a chance of getting well again?'
- C. My mother will be devastated to hear that my brother is mentally ill.'
- D. Our brother is family and we will be there to support him in every way we can.'
Correct Answer: D
Rationale: The correct answer is D because it demonstrates a supportive and inclusive attitude towards the individual with schizophrenia. By stating, "Our brother is family and we will be there to support him in every way we can," the family member acknowledges the importance of familial support and unity in the care of their loved one. This aligns with the competence model of care, which emphasizes empowerment, collaboration, and the importance of relationships in supporting individuals with mental health conditions.
A, B, and C are incorrect because they focus on negative aspects of the diagnosis, such as dependency, chronicity, and potential devastation, which do not reflect the positive and supportive approach needed for effective care strategies based on the competence model.
the problems of sexuality and sexual functioning, the term gender identity refers to
- A. Sexual urges or fantasies
- B. Individual is dissatisfied with their own biological sex
- C. Problem with sexual fantasies
- D. Problem with normal sexual response cycle
Correct Answer: B
Rationale: Gender identity is one's internal sense of gender, which may conflict with biological sex.
An alcohol-dependent patient was hospitalized at 0200 today. When would the nurse expect withdrawal symptoms to peak?
- A. Between 0800 and 1000 today (6 to 8 hours after drinking stopped)
- B. Between 0200 tomorrow and hospital day 2 (24 to 48 hours after drinking stopped)
- C. About 0200 on hospital day 3 (72 hours after drinking stopped)
- D. About 0200 on hospital day 4 (96 hours after drinking stopped)
Correct Answer: B
Rationale: The correct answer is B because alcohol withdrawal symptoms typically peak between 24 to 48 hours after the patient stops drinking. This timeframe aligns with the onset of symptoms such as tremors, anxiety, and hallucinations. Choices A, C, and D are incorrect because withdrawal symptoms do not peak within 6 to 8, 72, or 96 hours after drinking cessation. It is crucial for the nurse to monitor the patient closely during this critical period to manage and prevent potential withdrawal complications.
Which of the following approaches is most effective in helping patients with type 2 diabetes to lose weight?
- A. Advocate the American Diabetes Association's 1800-calorie diet for all patients
- B. Recommend daily exercise and decreased food intake
- C. Suggest substituting healthy ingredients for meals and snacks based on the patient's cultural heritage and personal preferences
- D. Refer patients to a dietitian for all their diet-related inquiries
Correct Answer: C
Rationale: Culturally tailored substitutions enhance adherence by aligning with patient preferences and lifestyle.
A nurse can assist a patient and family in which aspects of substance abuse relapse prevention? Select all that apply.
- A. Rehearsing techniques to handle anticipated stressful situations
- B. Advising the patient to accept residential treatment if relapse occurs
- C. Assisting the patient to identify life skills needed for effective coping
- D. Isolating self from significant others and social situations until sobriety is established
Correct Answer: A
Rationale: The correct answer is A because rehearsing techniques to handle stressful situations is a crucial aspect of substance abuse relapse prevention. By practicing coping strategies, the patient can effectively navigate triggers and prevent relapse.
Choices B, C, and D are incorrect:
B: Advising residential treatment is not a proactive relapse prevention strategy and does not empower the patient to manage triggers independently.
C: Identifying life skills is important, but alone it may not directly address relapse prevention techniques.
D: Isolating from support systems contradicts the importance of social support in recovery and may lead to feelings of loneliness and vulnerability, increasing the risk of relapse.