Nokea
You are the Assistant Director of Nursing in a multiethnical and culturally diverse inner city acute care facility. You will be chairing a committee to develop a philosophy of nursing that addresses these facility characteristics and the characteristics of the clients. Which theoretical framework would you recommend that this committee should consider when addressing mutiethnicity and the culturally diverse nature of this facility for this philosophy?
- A. Jean Watson's
- B. Martha Rogers'
- C. Nagi's theory
- D. Madeleine Leininger's theory
Correct Answer: D
Rationale: Leininger's theory (D) focuses on cultural care diversity.
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Which of the following security concerns is also a sentinel event that must be reported?
- A. A possible vulnerability of the facility's information technology to hacking
- B. The assisted suicide of a client in your facility by the spouse of the client
- C. Vulnerability to computer hacking
- D. Potential information theft
Correct Answer: B
Rationale: Assisted suicide is a sentinel event requiring reporting.
An adult in the emergency department states, 'I feel restless. Everything I look at wavers. Sometimes I’m outside my body looking at myself. I hear colors. I think I’m losing my mind.' Vital signs are slightly elevated. The nurse should suspect a(n):
- A. schizophrenic episode
- B. cocaine overdose
- C. phencyclidine (PCP) intoxication
- D. D-lysergic acid diethylamide (LSD) ingestion
Correct Answer: D
Rationale: The correct answer is D, D-lysergic acid diethylamide (LSD) ingestion. LSD causes visual disturbances, dissociation, heightened sensory perceptions, and altered sense of reality, matching the client's symptoms. Vital signs being slightly elevated are consistent with LSD use. Schizophrenic episodes (A) involve long-term symptoms, not acute onset. Cocaine overdose (B) would present with more severe vital sign changes. PCP intoxication (C) typically causes aggression and hallucinations, not the described symptoms.
Nursing advocacy directed towards eliminating the stigma attached to mental illness is based on the fact that:
- A. Stigmatization only serves to increase the stress felt by the mentally ill.
- B. No one is immune to mental illness or emotional problems.
- C. Mental illness is often chronic and incurable.
- D. The mentally ill deserve our support.
Correct Answer: B
Rationale: The correct answer is B because it highlights the universal susceptibility to mental illness, emphasizing the importance of advocacy to reduce stigma. Mental health issues can affect anyone regardless of age, gender, or background. By acknowledging this, nurses can advocate for increased understanding and support for those struggling with mental illness.
A: While stigmatization does increase stress, this does not directly explain the basis for nursing advocacy.
C: Mental illness being chronic does not explain the rationale behind advocating to eliminate stigma.
D: While the mentally ill deserve support, this choice does not address the underlying reason for advocacy focused on stigma reduction.
What nursing action is important to remember prior to administering Propranolol to a client with anxiety?
- A. Check blood pressure first
- B. Fine hand tremor
- C. Headache
- D. Selective serotonin reuptake inhibitors (SSRIs)
Correct Answer: A
Rationale: Correct Answer: A - Check blood pressure first
Rationale:
1. Propranolol is a beta-blocker used for anxiety and hypertension.
2. Before administering Propranolol, it's crucial to check the client's blood pressure, as it can cause hypotension.
3. Monitoring blood pressure helps prevent adverse effects like dizziness, fainting, or decreased perfusion.
4. Fine hand tremor (B) is a potential side effect of Propranolol, but it's not the priority before administration.
5. Headache (C) can be a side effect of Propranolol but is not the primary concern pre-administration.
6. Selective serotonin reuptake inhibitors (SSRIs) (D) are not directly related to the administration of Propranolol for anxiety.
Which of the following parts of the brain is associated with multiple feelings and behaviors and is sometimes referred to as the emotional brain?
- A. Frontal lobe
- B. Thalamus
- C. Hypothalamus
- D. Limbic system
Correct Answer: D
Rationale: The limbic system is known for its role in emotions, behavior, and memory, often referred to as the emotional brain, aligning with option d.