What medication education should the nurse provide to a patient who has expressed an interest in taking St. John's wort?

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Question 1 of 5

What medication education should the nurse provide to a patient who has expressed an interest in taking St. John's wort?

Correct Answer: C

Rationale: Rationale for Correct Answer C: 1. St. John's wort can interact with antidepressants, reducing their effectiveness. 2. This herb can also lead to serotonin syndrome when combined with antidepressants. 3. Therefore, it is crucial for the nurse to educate the patient to avoid combining St. John's wort with antidepressants to prevent harmful interactions. Summary of Incorrect Choices: A: Allergic reactions are not common with St. John's wort, so this information is not relevant to the patient's education. B: While liver toxicity is a concern with St. John's wort, regular liver function tests are not typically required for patients taking this herb. D: Gastrointestinal symptoms such as bleeding are not commonly associated with St. John's wort, making this choice incorrect.

Question 2 of 5

Which level of prevention activities would a nurse in an emergency department employ most often?

Correct Answer: B

Rationale: The correct answer is B: Secondary prevention. In an emergency department, nurses focus on early detection and treatment of health issues to prevent complications. This aligns with secondary prevention, which aims to identify and treat diseases in their early stages to prevent further harm. Primary prevention (A) focuses on preventing the onset of diseases, which is not the main role in an emergency department. Tertiary prevention (C) involves managing and reducing the impact of ongoing diseases, which is not the immediate priority in the emergency setting. Preventive activities (D) is a vague term that could encompass primary, secondary, or tertiary prevention efforts, but in this context, secondary prevention is the most relevant for emergency department nurses.

Question 3 of 5

What medication education should the nurse provide to a patient who has expressed an interest in taking St. John's wort?

Correct Answer: C

Rationale: Rationale for Correct Answer C: 1. St. John's wort can interact with antidepressants, reducing their effectiveness. 2. This herb can also lead to serotonin syndrome when combined with antidepressants. 3. Therefore, it is crucial for the nurse to educate the patient to avoid combining St. John's wort with antidepressants to prevent harmful interactions. Summary of Incorrect Choices: A: Allergic reactions are not common with St. John's wort, so this information is not relevant to the patient's education. B: While liver toxicity is a concern with St. John's wort, regular liver function tests are not typically required for patients taking this herb. D: Gastrointestinal symptoms such as bleeding are not commonly associated with St. John's wort, making this choice incorrect.

Question 4 of 5

A group of nursing students is reviewing information about the differences that occur with grieving in children, adolescents, and adults. The students demonstrate understanding of this information when they identify which of the following as characteristic of adolescents?

Correct Answer: B

Rationale: The correct answer is B: Adolescents mourn by talking about the loss. This is because adolescents tend to process their grief by verbalizing their feelings and thoughts. Adolescents are typically more vocal about their emotions and seek support through communication. This contrasts with children who may view death as reversible (A), adults who may need repeated explanations to understand the loss (C), and adults who may feel pressured by a time limit for socially acceptable grieving (D). Talking about the loss helps adolescents express their emotions and cope effectively with their grief.

Question 5 of 5

Child protective services have removed 10-year-old Christopher from his parents' home due to neglect. Christopher reveals to the nurse that he considers the woman next door his 'nice' mom, that he loves school, and gets above average grades. The strongest explanation of this response is:

Correct Answer: C

Rationale: The correct answer is C: Resilience. Christopher's ability to form positive relationships, excel in school, and maintain high academic performance despite experiencing neglect indicates resilience. Resilience refers to the ability to adapt positively in the face of adversity. His behavior shows that he is able to overcome his challenging circumstances and thrive. Temperament (A) refers to inherent traits that influence behavior, genetic factors (B) may play a role but do not fully explain his response, and the paradoxical effects of neglect (D) are not the strongest explanation in this context.

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