Nokea
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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A patient who has AIDS has been instructed on foods to eat to reduce the risk of infection. Which foods should the patient select that indicates correct understanding of this teaching? (Select all that apply.)
- A. Rare meat
- B. Raw seafood
- C. Soft egg yolks
- D. Pasteurized milk
Correct Answer: D
Rationale: The correct answer is D: Pasteurized milk. This is because pasteurization kills harmful bacteria, making it safe for consumption by individuals with weakened immune systems like AIDS patients.
A: Rare meat and B: Raw seafood may contain harmful bacteria that can pose a risk of infection for AIDS patients.
C: Soft egg yolks may also contain harmful bacteria if not fully cooked, which can be dangerous for individuals with compromised immune systems.
In summary, pasteurized milk is the safest option as it eliminates the risk of bacterial contamination, while the other choices may increase the risk of infection for a patient with AIDS.
Approximately ----- million Americans are blind or visually impaired:
- A. 10.4
- B. 11.4
- C. 12.4
- D. 15.4
Correct Answer: A
Rationale: About 10.4 million Americans are blind or visually impaired, per current estimates.
A home visiting psychiatric program focuses on pregnant women who have been diagnosed with depression. The success of the intervention is best demonstrated by a client's:
- A. Ability to manage her gestational diabetes well through diet and exercise.
- B. Statement, 'It's nice to think that I will have a baby of my very own.'
- C. Willingness to take her antidepressant medications as prescribed.
- D. Regular attendance at a series of birthing preparation classes.
Correct Answer: D
Rationale: The correct answer is D because regular attendance at birthing preparation classes directly reflects engagement with the psychiatric program designed for pregnant women with depression. Attending these classes demonstrates the client's commitment to seeking support and education for her mental health and pregnancy. It also indicates active participation in a structured intervention aimed at improving overall well-being. Choices A, B, and C are incorrect because they do not directly measure the success of the psychiatric program in addressing the client's depression during pregnancy. Choice A focuses on physical health, choice B reflects emotional sentiment, and choice C pertains to medication adherence, which are important but not direct indicators of the intervention's success in treating depression during pregnancy.
Which nursing intervention is directed toward one of the aims of primary preventive psychiatric nursing care?
- A. Counseling both physical and sexual abuse victims
- B. Providing stress management classes to new parents
- C. Screening senior citizens for both acute and chronic depression
- D. Arranging for clients to be transported to area Alcoholics Anonymous meetings
Correct Answer: B
Rationale: The correct answer is B because providing stress management classes to new parents aligns with primary preventive psychiatric nursing care, which aims to prevent mental health issues before they occur. This intervention promotes mental wellness by teaching coping skills and reducing stressors. Counseling abuse victims (A) is secondary prevention, addressing existing mental health issues. Screening for depression in senior citizens (C) is tertiary prevention, aimed at early detection and treatment of mental health conditions. Arranging transportation to Alcoholics Anonymous meetings (D) is also secondary prevention, targeting individuals with existing substance abuse problems.
Which therapy reduces self-defeating in clients:
- A. Existential therapy
- B. Irrational emotive therapy
- C. Rational emotive therapy
- D. Cognitive therapy
Correct Answer: C
Rationale: Rational Emotive Behavior Therapy (REBT, Ellis) targets self-defeating beliefs to reduce negative outcomes.