A nurse administers a prescribed dose of lithium at 8 PM. The nurse would schedule a specimen to be obtained for a blood level at which time?

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Question 1 of 5

A nurse administers a prescribed dose of lithium at 8 PM. The nurse would schedule a specimen to be obtained for a blood level at which time?

Correct Answer: D

Rationale: The correct answer is D (08:00). Lithium blood levels are typically drawn 12 hours after the last dose to ensure accuracy. Since the nurse administered the dose at 8 PM, the blood level should be checked at 8 AM the next day for accurate monitoring and adjustment of the dosage. Option A (22:00) is too soon after administration, option B (00:00) is not 12 hours after administration, and option C (04:00) is also not 12 hours after administration. Therefore, option D is the most appropriate time for obtaining a lithium blood level.

Question 2 of 5

In contrast to most Western medicine, integrative care takes into consideration:

Correct Answer: C

Rationale: The correct answer is C because integrative care focuses on treating the whole person, including their body, mind, and spirit. This approach recognizes the interconnectedness of these aspects in promoting overall health and well-being. Choice A is incorrect as it only mentions the physician's diagnosis and patient's response, neglecting the holistic approach of integrative care. Choice B is incorrect as it specifically mentions the nurse's ideas without addressing the broader perspective of integrating body, mind, and spirit. Choice D is incorrect as it prioritizes the diagnosis over addressing the spiritual aspect of care, which is essential in integrative medicine.

Question 3 of 5

A 62-year-old man experienced the loss of his 87-year-old father a week ago. The hospice nurse is making a follow-up visit to determine how he is handling his father's death. Which of the following statements made indicates to the hospice nurse that the patient is in the acute mourning stage of bereavement?

Correct Answer: C

Rationale: The correct answer is C because the statement reflects characteristics of the acute mourning stage, which includes intense emotions such as anger and sadness. The patient expressing anger towards God and crying all the time aligns with the typical reactions seen in the acute mourning stage. This stage is characterized by emotional outbursts and difficulty functioning in daily life. Choice A is incorrect because feeling guilty for not visiting the father and having trouble accepting the death are signs of denial, a stage that typically precedes acute mourning. Choice B is incorrect as it indicates acceptance and readiness to move on, which is not reflective of the acute mourning stage. Choice D is incorrect as it shows a focus on spending time with family and seeking support, which are more indicative of the later stages of mourning rather than the acute phase.

Question 4 of 5

A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate?

Correct Answer: C

Rationale: The correct answer is C because it demonstrates active listening and seeks confirmation from the patient, ensuring accurate understanding. Asking if the nurse's understanding is correct encourages the patient to clarify any misunderstandings. This approach fosters effective communication and a therapeutic relationship. A: Asking about common elements may not address the specific concerns shared by the patient. B: Asking the patient to repeat their experiences may come off as dismissive or imply the nurse wasn't listening attentively. D: Requesting the patient to start from the beginning may be unnecessary and may not address the current concerns the patient is sharing.

Question 5 of 5

Adolescents often display fluctuations in mood along with undeveloped emotional regulation and poor tolerance for frustration. Emotional and behavioral control usually increases over the course of adolescence due to:

Correct Answer: B

Rationale: The correct answer is B: Cerebellum maturation. The cerebellum is responsible for emotional regulation and cognitive functions. As it matures during adolescence, individuals gain better emotional and behavioral control. Limited executive function (A) would hinder rather than improve control. Cerebral stasis and hormonal changes (C) do not directly contribute to emotional regulation. A slight reduction in brain volume (D) would not necessarily lead to increased emotional and behavioral control.

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