Nokea
You have been conducting a weekly outpatient stress management educational series for clients in the community who are hypertensive. The best way to evaluate the effectiveness of this educational series is to:
- A. Collect baseline blood pressure readings prior to the beginning of this educational series and then collect and compare blood pressure data during the series and after the series is completed.
- B. Collect baseline blood pressure readings prior to the beginning of this educational series and then collect and compare blood pressure data after the series is completed.
- C. Ask the clients how often they use the stress management techniques that they have learned during this educational series.
- D. Use a questionnaire at the end of the series that asks the participants how they liked the class and what they learned during this educational series.
Correct Answer: B
Rationale: Pre- and post-series blood pressure (B) objectively measures effectiveness.
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As you are assessing the fetus during labor you are determining and the fetal lie, presentation, attitude, station and position. Your client asks you what all these assessments are. Among other things, how should you respond to the mother?
- A. You should explain that fetal lie is where the fetus' presenting part is within the birth canal during labor, among other information about the other assessments.
- B. You should explain that fetal presentation is the relationship of the fetus's spine to the mother's spine, among other information about the other assessments.
- C. You should explain that fetal attitude is the relationship of the fetus' presenting part to the anterior, posterior, right or left side of the mother's pelvis, among other information about the other assessments.
- D. You should explain that fetal station is the level of the fetus' presenting part in relationship to the mother's ischial spines, among other information about the other assessments.
Correct Answer: D
Rationale: Fetal station refers to the relationship to the ischial spines.
How might physicians who see both partners of an arranged marriage provide culturally sensitive care to both of them?
- A. Recommend a form of contraception that both parties agree on
- B. Discuss perceived family pressures with each party separately, and then together
- C. Explain the implications of 'cheng jia li ye' in U.S. culture
- D. Refer one party to another physician to minimize bias
Correct Answer: B
Rationale: Separate and joint discussions respect individual and cultural dynamics.
A decrease in which of the following neurotransmitters has been implicated in depression?
- A. GABA, acetylcholine, and aspartate
- B. Norepinephrine, serotonin, and dopamine
- C. Somatostatin, substance P, and glycine
- D. Glutamate, histamine, and opioid peptides
Correct Answer: B
Rationale: A decrease in norepinephrine, serotonin, and dopamine has been well-documented in the etiology of depression, as these neurotransmitters play key roles in mood regulation, aligning with option b.
A fear of unfamiliar people which emerges at 6-9 months of age
- A. Separation anxiety
- B. Stranger anxiety
- C. Phobia
- D. Emotional regulation
Correct Answer: B
Rationale: Stranger anxiety, a developmental milestone, appears at 6-9 months, per attachment theory.
What is low trait of conventional people:
- A. Dependable
- B. Innovative
- C. Feminine
- D. Ordinary
Correct Answer: B
Rationale: Conventional people (Holland's RIASEC) are dependable and ordinary, not typically innovative.