Nursing Elites

1. During her labor, Renee asks for a mild dose of painkillers to help her relax. Renee will probably be given __________.

• A. an anesthetic
• B. an analgesic
• C. folic acid
• D. an anti-inflammatory medication Answer: B Page Ref: 97 Skill Level: Apply and any dangers associated with each. Topic: Medical Interventions Difficulty Level: Moderate

Correct answer: B

Rationale: Renee will likely be given an analgesic during her labor to help manage her pain and provide relaxation. Analgesics are painkillers that can help reduce pain without causing loss of consciousness, making them suitable for labor pain management. Examples of analgesics commonly used during labor include opioids like morphine and non-opioids like acetaminophen.

2. Depression __________.

• A. declines with age
• B. responds to treatment that is completely covered by Medicare
• C. is rarely related to physical illness or pain
• D. can lead to cognitive deterioration

Correct answer: D

Rationale: The correct answer is D: 'can lead to cognitive deterioration.' Depression, particularly in older adults, can significantly impair cognitive function, leading to further mental health challenges. Choices A, B, and C are incorrect. Depression does not necessarily decline with age, treatment coverage may vary, and depression can indeed be related to physical illness or pain.

3. Cindy tells her daughter, “I know you can do a good job on that homework” because she believes that if she encourages persistence, her daughter will start to view herself as hardworking and high-achieving. Cindy is applying the __________ approach.

• A. behavior modification
• B. psychosocial
• C. cognitive-developmental
• D. social-cognitive Answer: D Page Ref: 17 Skill Level: Apply Topic: Mid-Twentieth-Century Theories Difficulty Level: Difficult

Correct answer: D

Rationale: Cindy is applying the social-cognitive approach by encouraging her daughter to believe in her own abilities and persist in her efforts. This approach emphasizes the importance of social influences and cognitive processes in shaping behavior. By providing positive reinforcement and fostering a belief in her daughter's capabilities, Cindy is helping to shape her daughter's self-perception and motivation to achieve success.

4. When Mateo was born prematurely to Yvonne, a cocaine addict, what can his caregivers expect?

• A. He will be very attentive to the environment
• B. His cries will be abnormally shrill and piercing
• C. He will overcome the harmful effects of drug exposure by age 3
• D. His motor development will be especially rapid during the first year

Correct answer: B

Rationale: Mateo, being born prematurely to a cocaine-addicted mother, is at risk for several health issues. One common effect of prenatal drug exposure is a higher likelihood of sensory and regulatory problems, such as having abnormally shrill and piercing cries. This is a potential outcome that Mateo's caregivers can expect due to his circumstances. Choice A is incorrect as there is no direct correlation between being born prematurely to a cocaine-addicted mother and being very attentive to the environment. Choice C is incorrect as overcoming harmful effects of drug exposure by age 3 is overly optimistic and may not be the case for all children exposed to drugs prenatally. Choice D is incorrect as rapid motor development is not typically associated with prenatal drug exposure.

5. What is the goal of applied behavior analysis?

• A. outline changes in temperament over the lifespan
• B. eliminate undesirable behaviors and increase desirable responses
• C. examine how we think about ourselves and other people
• D. synthesize information from various sources into a detailed picture of a person's personality

Correct answer: B

Rationale: The correct answer is B: "eliminate undesirable behaviors and increase desirable responses." Applied behavior analysis aims to modify behavior by focusing on eliminating unwanted behaviors and reinforcing desirable ones. It does not primarily deal with changes in temperament (choice A), self-perception (choice C), or personality traits (choice D). The approach involves techniques such as reinforcement to target specific behaviors, rather than broader cognitive processes or personality characteristics.

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