You are caring for a client who has been taking illicit amphetamines and states that they continue to use this illicit drug because they 'suffer and feel lousy' when they try to stop taking it. Which nursing diagnosis is the most appropriate for this client?
- A. Psychological dependence secondary to amphetamine use
- B. Substance abuse secondary to amphetamine use
- C. Addiction secondary to amphetamine use
- D. Physical dependence secondary to amphetamine use
Correct Answer: D
Rationale: Physical dependence (D) is indicated by withdrawal symptoms.
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hich of the following terms refers to individual beliefs and actions that are rooted in stereotype behaviors?
- A. Gender segregation
- B. Intersequentialized sexism
- C. Gender socialization
- D. Individual sexism
Correct Answer: D
Rationale: Individual sexism reflects personal stereotypical beliefs and actions, unlike broader processes.
Gendered messages are most likely to be found
- A. In the media
- B. In government programs
- C. Among peers
- D. In toy stores
Correct Answer: A
Rationale: Media is a primary source of gendered messages shaping perceptions.
The theorist who believes in social constructivism is
- A. Sigmund Freud
- B. Carl Rogers
- C. Lev Vygotsky
- D. Erik Erikson
Correct Answer: C
Rationale: Lev Vygotsky's social constructivism emphasizes learning through social interaction.
An HIV-infected patient reports being a cat lover and says, 'I always get my pets from a known sanitary source.' What should the nurse instruct the patient about cats and the risk of infection?
- A. Keep cats outdoors most of the time.'
- B. Obtain only cats that are less than 1 year old.'
- C. Remove all pets from your home. Avoid all contact with cats.'
- D. Be sure all the cats have up-to-date immunizations, and avoid their feces.'
Correct Answer: D
Rationale: The correct answer is D because HIV-infected individuals are at higher risk for infections, including from Toxoplasma gondii found in cat feces. By ensuring cats have up-to-date immunizations and avoiding their feces, the patient can reduce the risk of infection.
A: Keeping cats outdoors most of the time does not address the risk from cat feces inside the house.
B: The age of the cat does not necessarily correlate with the risk of infection, so this advice is not relevant.
C: Removing all pets and avoiding all contact with cats is an extreme measure and not necessary if proper precautions are taken.
When assessing a patient who has ingested flunitrazepam (Rohypnol), the nurse would expect:
- A. acrophobia
- B. hypothermia
- C. hallucinations
- D. anterograde amnesia
Correct Answer: D
Rationale: The correct answer is D: anterograde amnesia. Flunitrazepam is a benzodiazepine known for causing memory loss, specifically anterograde amnesia, where the person has difficulty forming new memories after ingestion. This is due to the drug's effects on the hippocampus and frontal cortex. Acrophobia (fear of heights), hypothermia, and hallucinations are not typically associated with flunitrazepam ingestion. Therefore, D is the expected outcome when assessing a patient who has ingested flunitrazepam.