Question: 2. An adult patient tells the case manager, “I don’t have bipolar disorder anymore, so I don’t need medicine. After I was in the hospital last year, you helped me get an apartment and disability checks. Now I’m bored and don’t have any friends.” Which resources should the nurse suggest for the patient? (Select all that apply.)

2. An adult patient tells the case manager, “I don’t have bipolar disorder anymore, so I don’t need medicine. After I was in the hospital last year, you helped me get an apartment and disability checks. Now I’m bored and don’t have any friends.” Which resources should the nurse suggest for the patient? (Select all that apply.) Correct Answer a. Psychoeducation classes

 

Question: Which economic factors are most critical to the success of discharge planning for a patient diagnosed with severe and persistent mental illness? (Select all that apply.) a. Access to housing b. Individual psychotherapy c. Income to meet basic needs d. Availability of health insurance e. Ongoing interdisciplinary evaluation

Which economic factors are most critical to the success of discharge planning for a patient diagnosed with severe and persistent mental illness? (Select all that apply.) a. Access to housing b. Individual psychotherapy c. Income to meet basic needs d. Availability of health insurance e. Ongoing interdisciplinary evaluation Correct Answer a. Access to housing c. Income to meet basic needs d. Availability of health insurance

 

Question: Which statements most clearly indicate that the speaker views mental illness with stigma? (Select all that apply.) a. “Everyone is a little bit crazy.” b. “If people with mental illness would go to church, their problems would be solved with faith.” c. “Many mental illnesses are genetically transmitted. It is no one’s fault that the illness occurs.”

Which statements most clearly indicate that the speaker views mental illness with stigma? (Select all that apply.) a. “Everyone is a little bit crazy.” b. “If people with mental illness would go to church, their problems would be solved with faith.” c. “Many mental illnesses are genetically transmitted. It is no one’s fault that the illness occurs.” d. “Anyone can have a mental illness. War or natural disasters can be too stressful for healthy people.” e. “People with mental illness are lazy. They expect the government to take care of everything they need.” Correct Answer a. “Everyone is a little bit crazy.” b. “If people with mental illness would go to church, their problems would be solved with faith.” e. “People with mental illness are lazy. They expect the government to take care of everything they need.”

 

Question: A student nurse visiting a senior center tells the instructor, “It’s so depressing to see all these old people. They are so weak and frail. They are probably all confused.” The student is expressing what attitude? a. Reality b. Ageism c. Empathy d. Distrust

A student nurse visiting a senior center tells the instructor, “It’s so depressing to see all these old people. They are so weak and frail. They are probably all confused.” The student is expressing what attitude? a. Reality b. Ageism c. Empathy d. Distrust Correct Answer b. Ageism

 

Question: A community mental health nurse plans an educational program for staff members at a home health agency that specializes in the care of older adults. What topic is of high priority? a. Identifying depression in older adults b. Providing cost-effective foot care for older adults c. Identifying nutritional deficiencies in older adults

A community mental health nurse plans an educational program for staff members at a home health agency that specializes in the care of older adults. What topic is of high priority? a. Identifying depression in older adults b. Providing cost-effective foot care for older adults c. Identifying nutritional deficiencies in older adults d. Psychosocial stimulation for those who live alone Correct Answer a. Identifying depression in older adults

 

Question: Which is the best statement for a nurse to use when beginning an interview with an older adult patient? a. “Hello, [call patient by first name]. I am going to ask you some questions to get to know you better.” b. “Hello. My name is [nurse’s name]. I am a nurse. Please tell me how you would like to be addressed by the staff.”

Which is the best statement for a nurse to use when beginning an interview with an older adult patient? a. “Hello, [call patient by first name]. I am going to ask you some questions to get to know you better.” b. “Hello. My name is [nurse’s name]. I am a nurse. Please tell me how you would like to be addressed by the staff.” c. “I am going to ask you some questions about yourself. I would like to call you by your first name if you don’t mind.” d. “You look as though you are comfortable and ready to participate in an admission interview. Shall we get started?” Correct Answer b. “Hello. My name is [nurse’s name]. I am a nurse. Please tell me how you would like to be addressed by the staff.”

 

Question: A 75-year-old patient comes to the clinic reporting frequent headaches. After an introduction at the beginning of the interview, what should the nurse address? a. Initiate a neurological assessment. b. Assess if the patient can hear the spoken word clearly. c. Suggest that the patient lie down in a darkened room to rest.

A 75-year-old patient comes to the clinic reporting frequent headaches. After an introduction at the beginning of the interview, what should the nurse address? a. Initiate a neurological assessment. b. Assess if the patient can hear the spoken word clearly. c. Suggest that the patient lie down in a darkened room to rest. d. Administer medication to relieve the patient’s pain prior to the assessment. Correct Answer b. Assess if the patient can hear the spoken word clearly.

 

Question: A nurse asks the following questions while assessing an older adult. The nurse will add the Geriatric Depression Scale as part of the assessment if the patient answers “yes” to which question? a. “Would you say your mood is often sad?” b. “Are you having any trouble with your memory?” c. “Have you noticed an increase in your alcohol use?”

A nurse asks the following questions while assessing an older adult. The nurse will add the Geriatric Depression Scale as part of the assessment if the patient answers “yes” to which question? a. “Would you say your mood is often sad?” b. “Are you having any trouble with your memory?” c. “Have you noticed an increase in your alcohol use?” d. “Do you often experience moderate-to-severe pain?” Correct Answer a. “Would you say your mood is often sad?”

 

Question: A 78-year-old nursing home resident diagnosed with hypertension and cardiac disease is usually alert and oriented. This morning, however, the resident says, “My family visited during the night. They stood by the bed and talked to me.” In reality, the patient’s family lives 200 miles away. The nurse should first suspect what as the trigger for the resident’s experience?

A 78-year-old nursing home resident diagnosed with hypertension and cardiac disease is usually alert and oriented. This morning, however, the resident says, “My family visited during the night. They stood by the bed and talked to me.” In reality, the patient’s family lives 200 miles away. The nurse should first suspect what as the trigger for the resident’s experience? a. Side effects associated with medications. b. Early Alzheimer’s disease associated with advanced age. c. A transient ischemic attack and developed sensory perceptual alterations. d. Previously unidentified alcohol abuse and is beginning alcohol withdrawal delirium. Correct Answer a. Side effects associated with medications.

 

Question: A health care provider writes these new prescriptions for a resident in a skilled care facility: egg custodian diet; restraint as needed; limit fluids to 200 mL daily; 1 dose of milk of magnesia 30 mL orally if no bowel movement occurs for 3 days.” Which prescription should the nurse question? a. Restraint

A health care provider writes these new prescriptions for a resident in a skilled care facility: egg custodian diet; restraint as needed; limit fluids to 200 mL daily; 1 dose of milk of magnesia 30 mL orally if no bowel movement occurs for 3 days.” Which prescription should the nurse question? a. Restraint b. Fluid restriction c. Milk of magnesia d. Sodium restriction Correct Answer a. Restraint

 

Question: “Natural rennet that is harvested from animals and sold to cheese makers is an example of a product made by recombinant DNA technology, meaning it involved molecular cloning.” The preceding statement is…

Answer Options: True False Correct Answer: False

 

Question: “FPC sold commercially is partially purified but still contains large amounts of the production organism.” The preceding statement is…

Answer Options: True False Correct Answer: False

 

Question: AquaBounty, the company that grows AquAdvantage salmon, claims to have put many safeguards in place to avoid accidental release of the genetically-modified fish or other contamination into the environment. Which of the following is NOT one of the safeguards discussed in this course?

Answer Options: The fish grown for consumption are only female. The salmon are grown in land-based facilities and not in ocean pens. Almost all the fish grown for consumption are sterile, meaning they cannot produce babies. All the wastewater that leaves the facilities is passed through a grinder, to kill any fish small enough to get into the drain pipes. Correct Answer: All the wastewater that leaves the facilities is passed through a grinder, to kill any fish small enough to get into the drain pipes.

 

Question: What are oncolytic viruses?

Answer Options: They are immune system cells that bind specifically to cancerous cells and are triggered to destroy the cancerous cells. They are genetically modified viruses that are used to reprogram genes in human cells. They are viruses that can attack more than one kind of bacterial cell. They are viruses that infect and kill cancer cells. Correct Answer: They are viruses that infect and kill cancer cells.

 

Question: “A benefit of using radiation therapy to treat cancer is that it targets the cancerous cells very precisely and never harms any of the non-cancerous cells in the body.” The preceding statement is…

Answer Options: True False Correct Answer: False

 

Question: How does Herceptin, a monoclonal antibody drug, help treat cancer?

Answer Options: It activates the immune system to move the cancerous cells out of the bloodstream. It infects cancerous cells and kills them from the inside. It binds to cancerous cells that have too many HER2 receptors and prevents them from receiving certain signals. It causes cells with ACE2 receptors to increase their growth rate. Correct Answer: It binds to cancerous cells that have too many HER2 receptors and prevents them from receiving certain signals.

 

Question: “Immunotherapy is a treatment that uses the immune system (or parts of the immune system) to fight a disease.” The preceding statement is…

Answer Options: True False Correct Answer: True

 

Question: “When oncolytic viruses break open a cancerous cell, the bits and pieces that spill out can help ‘train’ the immune system to identify other cancerous cells in the body.” The preceding statement is…

Answer Options: True False Correct Answer: True