A community that demonstrates commitment would most likely support the development of a:
a. Community club to facilitate community involvement
b. Children's recreation program
c. Curb-side recycling program and community-based education about recycling
d. Cooperative agreement with a neighboring city to share needed services
C
The commitment condition of community competence defined by Cottrell refers to the affective and cognitive attachment to a community, that is worthy of substantial effort to sustain and en-hance. Creating a recycling program as well as associated education enhances both the cognitive and affective domains of the community.
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A patient's laboratory report indicates critically low serum calcium levels. The nurse would conduct further assessment for which conditions?
1. Disruption of the parathyroid glands 2. Decreased supply of vitamin D 3. Low levels of calcitonin 4. Insufficient levels of calcitriol 5. Insufficient levels of calcidiol
A novice psychiatric nurse has a parent with bipolar disorder. This nurse angrily recalls feelings of embarrassment about the parent's behavior in the community. Select the best ways for this nurse to cope with these feelings. Select all that apply
a. Seek ways to use the understanding gained from childhood to help patients cope with their own illnesses. b. Recognize that these feelings are unhealthy. The nurse should try to suppress them when working with patients. c. Recognize that psychiatric nursing is not an appropriate career choice. Explore other nursing specialties. d. The nurse should begin new patient relationships by saying, "My own parent had mental illness, so I accept it without stigma." e. Recognize that the feelings may add sensitivity to the nurse's practice, but supervision is important.
Alcoholics Anonymous was the first and is probably the best-known mutual help group. Mutual help groups are
1. Associations of individuals desiring to recover from substance abuse through individual and group support and use of a 12-step program to guide the recovery process. 2. Coalitions of health care providers who collaboratively work to reduce particular psychosocial problems in individuals and groups. 3. Groups of codependent individuals and families who meet to discuss measures to overcome long-term and cyclical problems that produce addictive behavior. 4. Networks of individuals who share treatment regimens that have proved to be successful for them in overcoming addictive problems.
Select the mechanism of action of topiramate (Topamax).
A. Topiramate reduces the T-type calcium currents in the thalamus, which reduces the occurrence of seizures. B. Topiramate prolongs the inactivation period of potassium (K+) channels in the nerve membrane, leading to a reduction in the generation of high-frequency repetitive firing of action potentials from neurons involved in initiating seizures. C. Topiramate shortens the inactivation period of sodium ion (Na+) channels in the nerve membrane, leading to a reduction in the generation of high-frequency repetitive firing of action potentials from neurons involved in initiating seizures. D. Topiramate interferes with the action of Na+ ions and the generation of high-frequency action potentials. The drug may also increase the inhibitory actions of gamma-aminobutyric acid.