A nurse, client, and family meet to discuss the client's discharge. During the meeting, the client speaks and makes eye contact only with family. From a cultural perspective, how might the nurse interpret this behavior?

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Question 1 of 5

A nurse, client, and family meet to discuss the client's discharge. During the meeting, the client speaks and makes eye contact only with family. From a cultural perspective, how might the nurse interpret this behavior?

Correct Answer: D

Rationale: The correct answer is D: The client has respect for members of the health-care team. Rationale: 1. In some cultures, making direct eye contact with authority figures, like healthcare professionals, can be seen as a sign of respect. 2. By making eye contact only with the family, the client might be showing deference and respect towards the healthcare team. 3. This behavior suggests that the client values the input and presence of the healthcare team in the decision-making process. 4. Choices A, B, and C do not align with the behavior described and are not supported by the cultural perspective of respect and communication.

Question 2 of 5

A patient is fearful of riding on elevators. The therapist first rides an escalator with the patient. The therapist and patient then stand in an elevator with the door open for 5 minutes and later with the elevator door closed for 5 minutes. Which technique has the therapist used?

Correct Answer: B

Rationale: The correct answer is B: Systematic desensitization. This technique involves exposing the patient gradually to the feared stimulus (elevator) in a controlled manner to reduce fear response. By starting with riding an escalator and then gradually progressing to standing in an elevator with the door open and closed, the therapist is helping the patient build up tolerance and reduce fear through systematic exposure. A: Classic psychoanalytic therapy focuses on exploring unconscious conflicts and childhood experiences, not directly addressing phobias through systematic exposure. C: Rational emotive therapy involves challenging irrational beliefs and is not focused on exposure to feared stimuli. D: Biofeedback involves monitoring and controlling physiological responses, not directly addressing phobias through exposure.

Question 3 of 5

After teaching a class about the biochemical theories associated with panic disorder, the instructor determines a need for additional teaching when the students identify which neurotransmitter as being implicated?

Correct Answer: A

Rationale: The correct answer is A: Dopamine. In the context of panic disorder, serotonin and norepinephrine are typically implicated due to their roles in regulating mood and anxiety. GABA is involved in inhibiting neurotransmission, thus helping to reduce anxiety. Dopamine, however, is not directly associated with panic disorder and its dysregulation is more commonly linked to disorders like schizophrenia and Parkinson's disease. Therefore, if students identify dopamine as being implicated in panic disorder, it indicates a need for additional teaching to correct this misconception and emphasize the roles of serotonin, norepinephrine, and GABA instead.

Question 4 of 5

What is a cause of pseudodementia?

Correct Answer: B

Rationale: The correct answer is B: severe depression. Pseudodementia refers to cognitive symptoms that mimic dementia but are actually caused by a psychiatric disorder like severe depression. This condition can be reversed with appropriate treatment for the underlying depression. Medication reaction (choice A) can cause cognitive impairment but is not specific to pseudodementia. Old age (choice C) is not a direct cause of pseudodementia. Genetics (choice D) may play a role in some forms of dementia but not in pseudodementia caused by severe depression.

Question 5 of 5

A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiac output?

Correct Answer: B

Rationale: Correct Answer: B (Oliguria) Rationale: 1. Oliguria (decreased urine output) is a classic sign of decreased cardiac output due to poor perfusion to the kidneys. 2. Decreased cardiac output results in reduced blood flow to the kidneys, leading to decreased urine production. 3. Shivering is a common postoperative response, not directly related to cardiac output. 4. Bradypnea (slow breathing) and constricted pupils are not typical signs of decreased cardiac output.

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