Nokea
You have collected, aggregated and analyzed data which reflects the frequency of your staff returning medical equipment to the appropriate department because the staff members thought it was too unsafe to use. After the experts in the medical equipment inspect and test the equipment they report back to you, as the nurse manager, whether or not the equipment was indeed unsafe. This data indicates that 83% of the returns that were made by your staff were deemed safe and operable. What should you do?
- A. Counsel the staff about their need to stop wasting the resources of this department.
- B. Check the equipment yourself to determine the accuracy of this equipment department.
- C. Ignore it because everyone can make an innocent mistake.
- D. Plan an educational activity about determining what equipment to send for repairs.
Correct Answer: D
Rationale: Education can improve staff judgment regarding equipment safety.
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Structural Family Therapy was designed to
- A. Support contemporary families at Levels 1 and 2
- B. Meet the needs of troubled inner city youth
- C. Is exclusively for low-income families
- D. Help impose boundaries on families
Correct Answer: B
Rationale: SFT was developed by Minuchin to address youth behavioral issues in urban settings.
Why might an immigrant patient be reluctant to participate in DOT?
- A. Immigrant patients are fearful of medical authority
- B. The patient may be fearful because of the loss of privacy or cultural misunderstanding
- C. The patient may have had a similar experience in his/her native country
- D. The patient may feel that DOT will make the illness worse
Correct Answer: B
Rationale: Privacy loss and cultural differences often deter immigrants from DOT participation.
Which statement most accurately describes substance dependence?
- A. It is a lack of control over use. Tolerance and withdrawal symptoms occur when intake is reduced or stopped.
- B. It occurs when psychoactive drug use interferes with the work of competing neurotransmitters.
- C. Symptoms occur when two or more drugs that affect the central nervous system (CNS) have additive effects.
- D. It involves taking a combination of substances to weaken or inhibit the effect of another drug.
Correct Answer: A
Rationale: Rationale for Answer A:
1. Substance dependence involves a lack of control over use, leading to compulsive drug-seeking behavior.
2. Tolerance and withdrawal symptoms are key indicators of substance dependence when intake is reduced or stopped.
3. These symptoms result from physiological changes in the body due to chronic drug use.
4. The cycle of tolerance and withdrawal reinforces the dependence on the substance.
Summary of why other choices are incorrect:
B. Interference with neurotransmitters is more related to the pharmacological effects of drugs, not a defining feature of substance dependence.
C. Additive effects of drugs do not necessarily indicate substance dependence but rather interactions between different substances.
D. Combining substances to weaken effects does not define substance dependence; it is more about the compulsive use and physical dependence on a substance.
Which of the following abilities is promoted through the use of trained medical interpreters?
- A. Ability to have 'small talk' with patients
- B. Ability to diagnose psychosocial disorders
- C. Ability to address adherence issues
- D. Ability to educate patients about their medications
Correct Answer: C
Rationale: Interpreters clarify instructions, directly aiding adherence discussions.
he theorist who believes that human behavior is influenced by past experiences is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: A
Rationale: Sigmund Freud's psychoanalysis links behavior to past, especially childhood, experiences.