Which of the following situations best supports the stress-diathesis model of mental illness development?
a. The rate of suicide increases during times of national disaster and despair.
b. Four of five siblings in the Jones family develop bipolar disorder by the age of 30.
c. A man with no prior mental health problems experiences sadness after his divorce.
d. A man develops schizophrenia, but his identical twin remains free of mental illness.
Ans: d. A man develops schizophrenia, but his identical twin remains free of mental illness.
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A patient with severe psoriasis who is to be treated with the systemic drug methotrexate sodium anxiously asks, "Is this cancer drug safe? Are there some side effects I need to know about?" What is the best response by the nurse?
a. "Yes, methotrexate is used to treat cancer and psoriasis, and it has no severe side effects." b. "No, it is not a cancer drug, but you should ask your physician about concerns regarding your therapy." c. "We use this drug to treat many kinds of patients, including patients with cancer. You will have periodic blood tests." d. "I don't know if it is used with patients with cancer, but the drug can be used when conditions are as severe as yours."
A nursing student asks why albuterol, which is selective for beta2 receptors, causes an increased heart rate in some patients. How should the nurse respond?
a. "Adrenergic agonists can lose their selec-tivity when given at higher doses." b. "Bronchodilation lowers blood pressure, which causes a reflex tachycardia." c. "Some patients metabolize the drug diffe-rently and have unusual side effects." d. "Systemic effects are intensified with in-haled doses."
A small rural community is struck by a natural disaster. What is the first thing that the public health nurses should do?
1. Go door-to-door to identify the injured. 2. Notify the American Red Cross. 3. Activate the emergency preparedness plan. 4. Begin triage of victims.
The nurse is teaching a client how to care for a new ileostomy. Which client statement indicates that additional teaching is needed?
a. "I will consult the pharmacist before fill-ing any new prescriptions." b. "I will empty the ostomy pouch when it is half-filled with stool or gas." c. "I will wash my hands with antibacterial soap before and after ostomy care." d. "I will call my health care provider if I have not had ostomy drainage for 3 hours."