Nursing

Beginner’s Mind And Work Environment
Beginner’s Mind And Work Environment
QUESTION 10
1. “In the ___________ __________ (two words), there are many possibilities; In the experts mind, there are few.” Which of the following best completes this sentence?
A. Beginner’s Mind
B. Principal’s Office
C. Work Environment
D. Steam Engine
0.5 points
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QUESTION 11
1. A baseline assessment in Cognitive Behavioral Couple Therapy involves:
A. Only the use of standardized instruments
B. Only the use of the clinical interview
C. Gaining and understanding of the frequency, intensity, and duration of any given behavior before counseling begins
D. Gaining and understanding of the frequency and intensity ONLY of any given behavior before counseling begins
0.5 points
QUESTION 12
1. When working with a “Customer”, the counselor should utilize ___________ tasks
A. Behavioral
B. Observational
C. Insightful
D. Strenuous
0.5 points
QUESTION 13
1. Which of the following is most like something a Solution Focused Counselor might say?
A. Tell me about your troubled childhood
B. I can tell by the way that you are acting, you are an only child
C. You are making poor choices and you need to change
D. What might you do differently the next time the problem occurs?
0.5 points
QUESTION 14
1. Which of the following is NOT a general goal of Cognitive Behavioral Therapy?
A. Increase desired behaviors and cognitions
B. Bring the subconscious thoughts into the client’s awareness
C. Decrease undesirable behaviors and cognitions
D. Improve problem solving skills
0.5 points
QUESTION 15
1. Extinction is best defined as:
A. The process through which animals and other living beings drastically diminish in number
B. Rewarding negative behaviors with a positive consequence
C. The process in which a behavior is diminished by not reinforcing it
D. The process of balancing risks and rewards
0.5 points
QUESTION 16
1. A “family schema” is best defined as:
A. The way that a family counselor helps clients come up with a “scheme” in order to bring about change in the family system
B. A set of similarly held beliefs about family and life, thus providing a template that organizes the way a family interacts or behaves
C. A genogram, constructed using Bowenian Principles of Interaction
D. All of the above define the family schema
0.5 points
QUESTION 17
1. Narrative therapists maintain that reality is constructed and given meaning through ________.
A. Language
B. Ritual
C. School
D. Cars
0.5 points
QUESTION 18
1. Behavioral Marital Therapy rests on the assumption that:
A. The behavior of each individual is the antecedent and the consequence of another’s actions, meaning that family interaction is “circular” in nature
B. Behavior is “linear” in nature, meaning that all behavior occur without any connection to the behavior of other family members
C. Changes in the marital dyad can only be caused by a practitioner using Behavioral Marital Therapy
D. None of the above describes the assumption upon which Behavioral Marital Therapy rests
0.5 points
QUESTION 19
1. In Narrative Therapy, letters and certificates can be used to:
A. Remind clients that their bill is due at the end of the month
B. Celebrate a new story
C. Highlight accomplishments
D. B and C are correct
0.5 points

Assignment: Chemosynthesis And Mitochondria
Assignment: Chemosynthesis And Mitochondria
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“Phytoplankton, Chemosynthesis, and Mitochondria”
For your primary post, please respond to one of the following three topics with a post of at least 125 words that addresses each point given in the instructions. Also, please reply to at least one fellow student on any topic.
Topic 1
: The phytoplankton that brought Earth to life. Review the video (1)* about the “phytoplankton that brought Earth to life” from the link given below. In this clip, which is under 5 minutes in length, Penny Chisholm discusses a tiny phytoplankton called Prochlorococcus. Based on that video, please address the following:
(a) What is the importance of Prochlorococcus for life on the planet Earth, both historically and in the present day?
(b) In the video, Dr. Chisholm tells us that Prochlorococcus samples from different environments are genetically different. What does this tell us about the relationships between organisms and their environments?
(c) Explain how this relates to this week’s lessons.
Topic 2 [article]: Snails that don’t eat. A recent article by JoAnna Klein (2)* describes a partnership between the snail Gigantopelta chessoia and a chemosynthetic bacterium. The bacterium is called an “endosymbiont” because it lives inside the snail.
(a) Describe the partnership between Gigantopelta chessoia and its endosymbiont.
(b) What is most surprising to you about this situation?
(c) Explain how this relates to this week’s lessons.
Topic 3 [article]: Exercise and mitochondria. Exercise is generally known to have many beneficial effects on our bodies at several different levels. Some studies have examined the effects of exercise at the level of muscle cells. Read the press release by Cell Press (3)*.
(a) What specifically did these researchers measure in their volunteers?
(b) What were their findings?
(c) Explain how this relates to this week’s lessons.
References (in Strayer Writing Standards format).
PBS Newshour, March 5, 2014. The phytoplankton that brought Earth to life,
JoAnna Klein, July 11, 2018. This snail goes through metamorphosis. Then it never has to eat again.
Cell Press, March 7, 2017. How exercise — interval training in particular — helps your mitochondria stave off old age.

Assignment: The Novice Researcher
Assignment: The Novice Researcher
This is a 150 word response. Must 2 scholarly nursing articles within the last 5 years to reply to these posts.
1st person to respond to (Lauren)
Developing any part of a research study has it challenges. For a novice researcher, they may find it to be a little extra difficult due to their lack of experience. However, this should not stop a novice researcher from engaging in research studies. If a novice researcher is asked to develop a new tool to collect patient data, the novice researcher must first perform a literature review and establish a framework (Brannan, Dumsha & Yens, 2013). Once these are done, then creating the method for the study including the tool to collect data is next. The researcher should keep the design of the study simple and standardized but detailed enough that other researchers would be able to duplicate the study exactly (Brannan et al, 2013).
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Because anxiety is a feeling that can only be self-reported, collecting data in a narrative or qualitative format would be ideal. According to Rose and Devine (2014), anxiety measuring instruments can be generic or specific depending on the anxiety. Since the peer or manager is specifically wanting data about anxiety prior to the procedure, a the more specific questionnaire tool should be used.
2nd person to respond to (Reji)
It is very challenging to find the best research method that will fit a given research agenda especially for novice researchers. Research problems can be overwhelming and if the novice is not familiar with the terms or concepts of the research the novice researcher will not be able to make an informed decision. To help the novice researcher, make an informed decision and help them find the best-fit research method is important for the novice researcher to appropriately implement his or her study within the accepted parameters (Polit & Beck, 2017).
First step would be to find peer-reviewed literature about the study in question, for this case anxiety prior to cardiac catheterization. Second would be to select a framework design for the data collection by creating a question needed for the study. Third, knowing the limitations and assumptions can eliminate or decrease bias (Ellis & Yair, 2010). After selecting the correct tool for the study, it is important to also know about how the procedure is done to understand what the patient’s go through when having a cardiac catheterization. Knowing how the procedure is done is very helpful because it helps to understand why the patients get anxious. A useful tool that can be developed to gather this data would be a questionnaire for the patients to be asked prior to the procedure. Interviewing individuals that are going to have the procedure or have had the procedure can help to analyze the reason why they experience anxiety.

Discussion: Developing a Hypothesis
Discussion: Developing a Hypothesis
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MULTIPLE CHOICE SECTION INSTRUCTIONS: Read all instructions carefully. Please answer all questions. Each question is worth 1 point. The Multiple Choice section is worth 20 points.
**Do not enter your answers here.** Type in the letter you select as the best answer on the Answer Sheet provided by your instructor.
1. What is the correct sequence of steps in the scientific method?
I. Make observations and ask a question
II. Analyze the data
III. Develop a hypothesis
IV. Share the results with other scientists
V. Design and perform an experiment to test the hypothesis
A) I>II > III > IV > V
B) III > I > V > II > IV
C) V> IV > III > II > I
D) I> III > V >II > IV
E) V > II > I > III > IV
2. You have formulated a hypothesis: “Apples contain more vitamin C than oranges.”
To test your hypothesis you measure vitamin C levels in 20 oranges and 20 apples from trees that were grown in the same orchard under the same environmental conditions (temperature, rain, sunlight). This experiment was conducted twice. The control group in the experiment is
A) type of soil, temperature, amount of rain and sunlight in the orchard
B) vitamin C levels
C) oranges
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D) apples
E) a large sample size and repeated experiment
***Use the following information to answer questions 3, 4, 5 & 6 below***:
A group of medical researchers investigated the effects of Drug X on lowering cholesterol levels in a group of men between the ages of 50 and 70 years old. The researchers did the following experiment and obtained the indicated results: One group of 150 men took a tablet containing Drug X for 3 weeks – 95 of these men decreased their cholesterol levels by at least 10% (three men from this group dropped out of the study). Another group of 150 men was given a tablet with no added Drug X for 3 weeks – 10 of these men decreased their cholesterol levels by at least 10% (two men from this group dropped out of the study).
3. Which of the following is the best hypothesis for this experiment?
A) Will drug X lower cholesterol levels in men between the age of 50 and 70 years?
B) Drug X will lower cholesterol levels in men.
C) Since high cholesterol levels significantly increases several health risks for men, drug X is most likely beneficial.
D) Men between the age of 50 and 70 years will have reduced cholesterol levels if they take drug X over a 3 week period.
E) There is no significant difference in cholesterol levels between men that take drug X and those that don’t take it.
4. Which of the following was the control group in this experiment?
A) the amount of Drug X contained in the tablet
B) the number of participants in each group at the end of the experiment
C) the group of participants that received tablets containing Drug X
D) the group of participants that received tablets that did not contain Drug X
E) the number of participants in each group at the beginning of the experiment
5. Which of the following is a dependent variable in this experiment?
A) the amount of Drug X contained in the tablet
B) participants that received tablets containing Drug X
C) the average age of the participants
D) number of participants in each group at the beginning of the experiment
E) cholesterol levels
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6. Which of the following is an independent variable in this experiment?
A) the amount of Drug X contained in the tablet
B) participants that received tablets containing Drug X
C) the average age of the participants
D) number of participants in each group at the beginning of the experiment
E) blood pressure

Assignment: Mycobacterium tuberculosis antigens.
Assignment: Mycobacterium tuberculosis antigens.
Question 33
Two nursing students are attempting to differentiate between the presentations of immune thrombocytopenic purpura (ITP) and thrombotic thrombocytopenic purpura (TTP). Which of the students’ following statements best captures an aspect of the two health problems? Answers:
A. “ITP can be either inherited or acquired, and if it’s acquired, it involves an enzyme deficiency.”
B. “Both of them involve low platelet counts, but in TTP, there can be more, not less, hemostasis.
C. “TTP can be treated with plasmapheresis, but ITP is best addressed with transfusion of fresh frozen plasma.”
D. “Both diseases can result from inadequate production of thrombopoietin by megakaryocytes.”
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Question 34
A physician is explaining to a 40-year-old male patient the importance of completing his course of antibiotics for the treatment of tuberculosis. The physician explains the damage that could occur to lung tissue by Mycobacterium tuberculosis. Which of the following phenomena would underlie the physician’s explanation?
Answers:
A. Tissue destruction results from neutrophil deactivation.
B. Neutrophils are ineffective against the Mycobacterium tuberculosis antigens.
C. Macrophages form a capsule around the Mycobacterium tuberculosis bacteria, resulting in immune granulomas.
D. Nonspecific macrophage activity leads to pulmonary tissue destruction and resulting hemoptysis.
Assignment: Mycobacterium tuberculosis antigens.
Question 35
A teenager, exposed to West Nile virus a few weeks ago while camping with friends, is admitted with headache, fever, and nuchal rigidity. The teenager is also displaying some lethargy and disorientation. The nurse knows which of the following medical diagnoses listed below may be associated with these clinical manifestations?
Answers:
A. Encephalitis
B. Lyme disease
C. Rocky Mountain spotted fever
D. Spinal infection
Question 36
A patient has been diagnosed with anemia. The physician suspects an immune hemolytic anemia and orders a Coombs test. The patient asks the nurse what this test will tell the doctor. The nurse replies,
Answers:
A. “They are looking for the presence of antibody or complement on the surface of the RBC.”
B. “They will look at your RBCs under a microscope to see if they have an irregular shape (poikilocytosis).”
C. “They will wash your RBCs and then mix the cells with a reagent to see if they clump together.”
D. “They will be looking to see if you have enough ferritin in your blood.”
Question 37
A 29-year-old construction worker got a sliver under his fingernail 4 days ago. The affected finger is now reddened, painful, swollen, and warm to touch. Which of the following hematological processes is most likely occurring in the bone marrow in response to the infection?
Answers:
A. Phagocytosis by myelocytes
B. Increased segmented neutrophil production
C. High circulatory levels of myeloblasts
D. Proliferation of immature neutrophils
Question 38
A surgeon is explaining to the parents of a 6-year-old boy the rationale for the suggestion of removing the boy’s spleen. Which of the following teaching points would be most accurate?
Answers:
A.“We think that his spleen is inhibiting the production of platelets by his bone marrow.”
B.“We believe that your son’s spleen is causing the destruction of many of his blood platelets, putting him at a bleeding risk.”
C.“Your son’s spleen is holding on to too many of his platelets, so they’re not available for clotting.”
D.“Your son’s spleen is inappropriately filtering out the platelets from his blood and keeping them from normal circulation.”
Question 39 A nurse practitioner is providing care for a client with low levels of the plasma protein gamma globulin. The nurse would recognize that the client is at risk of developing which of the following health problems?
Answers:
A. Anemia
B. Blood clots
C. Jaundice
D. Infections
Question 40
A 32-year-old woman presents at her neighborhood health clinic complaining of weakness and a feeling of abdominal fullness. She reports that 6 months earlier she noticed that she had difficulty in maintaining the high level of energy she has relied on during her aerobic workouts over the past few years. Because she felt that she was in overall good health, but knew that women often need additional iron, she added a multiple vitamin with iron and some meat and leafy greens to her diet. She followed her plan carefully but had no increase in energy. Upon examination, her spleen is noted to be enlarged. Which of the following is most likely to be the cause?
Answers:
A. CLL
B. Accelerated CML
C. Infectious mononucleosis
D. Stage A Hodgkin disease
Question 41
A nurse is providing care for several patients on an acute medical unit of a hospital.Which of the following patients would be most likely to benefit from hematopoietic growth factors?
Answers:
A. A 61-year-old female patient with end-stage renal cancer
B. A 55-year-old obese male patient with peripheral neuropathy secondary to diabetes
C. A 51-year-old female patient with liver failure secondary to hepatitis
D. A 44-year-old man with a newly diagnosed brain tumor
Question 42
Misinterpreting her physician’s instructions, a 69-year-old woman with a history of peripheral artery disease has been taking two 325 mg tablets of aspirin daily. How has this most likely affected her hemostatic status?
Answers:
A. The binding of an antibody to platelet factor IV produces immune complexes.
B. The patient’s prostaglandin (TXA2) levels are abnormally high.
C. Irreversible acetylation of platelet cyclooxygenase activity has occurred.
D. She is at risk of developing secondary immune thrombocytopenic purpura (ITP).

Human Personality And Character Traits
Human Personality And Character Traits
1. What personality “type” are you? How has your environment and genetic background influenced your personality and character traits? (Due Wednesday 150 Words)
2. How do you relate to Maslow’s Hierarchy of Needs? (Due Thursday 150 words)
3. Select an article or chapter from this weeks reading material. Summarize the article/chapter in about 75+ words and then describe your opinion and/or realizations from the article/chapter in 75+ words. (Due Friday)
4.In your weekly summary for this third workshop week, describe some realizations you have had about Motivation and Personality and how they have influence you personally or those you know.
Below is this weeks readings
Psychological Properties of Motivation
Can two individuals be both the same and different in what motivates them? Do people with different needs, traits, and concerns know they are motivated by different things? The themes of this section are population thinking, differences between motives and traits, awareness of what is motivating, and self-concept as a motivational system. Population thinking emphasizes the notion that every person is different. Chapter 8 (Drives, Needs, and Awareness) shows people differ in the intensity of their psychological needs. Individuals with stronger psychological needs or motives are pushed harder toward satisfaction. Chapter 9 (Personality and Self in Motivation) stresses population thinking by emphasizing differences in personality traits. Trait differences explain why people are attracted or repelled by different incentives.
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What is the motivational distinction between psychological motives and personality traits? One distinction is that motives like drives and psychological needs push behavior, whereas traits do not. Drives are created through incentive deprivation. For example, food deprivation creates a hunger drive, which pushes or motivates a person to seek, attain, and eat food. Psychological needs are persistent deficits that push an individual toward activi- ties or incentives that provide satisfaction. If left unsatisfied, needs produce psychological ill health. Thus, people are motivated from within to satisfy their needs and attain psycho- logical health. The need to belong or affiliate, for example, pushes people to join clubs, organizations, fraternities, and sororities in order to satisfy this need. Personality traits, however, determine whether incentives are valued positively or negatively. To illustrate, for the trait of extraversion, extraverts positively value and are pulled to attend large, noisy parties. Introverts, in contrast, negatively value those parties and decline to attend.
Human Personality And Character Traits
Are people aware that they are motivated by their psychological needs and personal- ity traits? Although needs and traits affect the motivation of behavior, people may not be aware of the source of that motivation. They seem to act automatically but with limited in- sight as to why. This lack of awareness may result from the fact that needs and traits are con- sidered stable and unchanging. Stable needs and traits cannot explain why the same person behaves differently at different times. However, people differ in needs and traits, and this can account for differences in their behavior.
181
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55 8-
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Motivation: Biological, Psychological, and Environmental, Third Edition, by Lambert Deckers. Published by Allyn & Bacon. Copyright © 2010 by Pearson Education, Inc.
Does how you view yourself in the present and in the future motivate your behavior? A person’s view of him- or herself defines self-concept, which is an organized system of knowledge about the self. Envisioned future selves may serve as positive or negative in- centives. A positive future self motivates approach behavior toward that end while a nega- tive future self motivates avoidance behavior, which is designed to prevent a negative self from happening. Self-esteem, however, refers to the outcome of an evaluation about the self. Self-esteem depends on the outcome of evaluations that occur in critical domains. Positive evaluations in important domains boost self-esteem and negative evaluations lower self-esteem.
182 P A R T T H R E E / Psychological Properties of Motivation
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Motivation: Biological, Psychological, and Environmental, Third Edition, by Lambert Deckers. Published by Allyn & Bacon. Copyright © 2010 by Pearson Education, Inc.
C H A P T E R
8
183
Drives, Needs, and Awareness
By annihilating desires you annihilate the mind. Every man without passions has within him no principle of action, nor motive to act.
—Claude Adrien Helvetius, 1715–1771
Body cannot determine mind to think, neither can mind determine body to motion or rest or any state different from these, if such there be.
—Benedict de Spinoza, 1677
? The focus of this chapter is on motives—that is, the internal source of motivation. Keep that idea in mind as you consider the following questions, which introduce the contents of this chapter:
1. What are the differences among physiological needs, drives, and psychological needs?
2. What is the relationship between psychological needs and incentives?
3. Can needs be categorized and ranked for their potential to motivate behavior?
4. What are some of the major psychological needs that motivate behavior?
5. Is awareness of a need or incentive necessary before it can motivate behavior?
Drives and Needs as Internal Sources of Motivation How does one become a world renowned actor, a popular musician, a Nobel-prize winning scientist, or a gold medal-winning athlete? To reach this level of achievement, it is proba- bly necessary to be a genius, such as an acting, musical, scientific, or athletic genius. With this provision in place, one source of motivation for these achievements is the value placed on financial rewards, fame, winning, or the adoration received from others. The philoso- pher Schopenhauer (1851/1970), however, suggests that these incentives are not enough. The money may not be worth it and fame is too uncertain. In addition, the possibility that these incentives will be the result of one’s actions is vague, uncertain, and far in the future. Schopenhauer instead suggests that there are processes inside these individuals that will explain their motivation. He reasons that these individuals possess some inner force or drive that compels them toward their achievements. Schopenhauer likens this inner drive to an innate instinctual process that compels these individuals into action toward their goals as if they had no choice in the matter. This inner force is today labeled drive because it refers to
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Motivation: Biological, Psychological, and Environmental, Third Edition, by Lambert Deckers. Published by Allyn & Bacon. Copyright © 2010 by Pearson Education, Inc.
184 P A R T T H R E E / Psychological Properties of Motivation
TABLE 8.1 Internal and External Motivation and Likelihood of Behavior
Strength of Internal Motive
Strength of External Incentive Weak Strong
Weak Behavior not likely Behavior likely
Strong Behavior likely Behavior very likely
Note: The combined effects of internal and external sources of motivation must be strong enough to exceed the threshold in order for behavior to occur. For example, eating depends on the palatability of food (external) and the degree of hunger (internal).
that internal push, urge, or force that moves a person into action. It could also refer to psy- chological needs such as a very high need for achievement, competence, or autonomy. What internal drives and psychological needs do humans possess that motivate their behavior?

Assignment: Principles Of Taxonomy
Assignment: Principles Of Taxonomy
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To introduce you to principles of taxonomy as you look at morphological characteristics of sea shells and construct an evolutionary tree.
Directions
Go to the link http://media.hhmi.org/biointeractive/click/shells_online/index.html and work through the lab sorting sea shells based on morphological characteristics to study evolutionary relationships.
Please take notes for your laboratory report. You will add an introduction later. Write a short note describing each step of identifying and selecting snails as you work through the lab. Please take a screen shot of the final drawing showing the evolutionary relationship of all snails listed.
Please answer the following questions:
Why was the scallop among the snails? (HINT: Watch “Dr. Olivera discusses major molluscan groups”)
What additional tests could be used to examine evolutionary relationships among molluscs (snail species)? (HINT: Watch “Dr. Olivera discusses how to classify shells”)
How was the name of different cone snail specied decided? (HINT: Watch the video “Dr. Olivera discusses species names”)
Where are cone snails found and what are their feeding habits? (HINT: Click on snail images on the final evolutionary tree for more information about species).
Describe the evolutionary history of snails (Molluscs). In which eon, era and period did the first snails evolve? (HINT: Textbook, chapter 14.3)
The laboratory report will have a title page (APA format), and an introduction. Summarize the life history of cone snails. List your steps to classify the snails under methods, post the final picture of snail specis under results and discuss limits of morphological classification in the discussion section of the lab report. Suggest additional tests which may clarify cone shell taxonomy. You should also have a reference section, with the textbook and web page listed in APA format.
Save your completed lab report in .rtf, .doc, or .docx format. Name it as “Taxonomy Lab Report_Your Last Name.”
Submit your lab report via the submission link above. Please only submit the completed lab report for grading.
Please review the grading rubric for the assignment for additional details and grade criteria.

Reasons for people to take part in cybersex
Reasons for people to take part in cybersex
Question 1
1.
All of the following are reasons for people to take part in cybersex, except for
Answer
Anonymity
Ease and convenience
Resolving marital problems
Strong sexual fantasies
5 points
Question 2
1.
Net Nanny is
Answer
A pornographic website
A way to block children’s access to pornography
The name of the 1995 U.S. Senate bill that would prohibit making pornographic material available to children under 18
A kind of Trojan that records keystrokes on pornographic websites
5 points
Question 3
1.
Most people consider online affairs just as real as offline affairs because
Answer
They involve the deviant use of the computer
All fantasies about sex turn into reality
A physical sexual act usually takes place
They can lead to marital discord and divorce
5 points
Question 4
1.
When robbers consider the selection of a target, they consider how lucrative an establishment is and _____________
Answer
The personality of the potential victims
The fame gained from the robbery
The risk of arrest
Who to frame for the job
5 points
Question 5
1.
If a person kills him or herself after murdering another, it is called ________ suicide.
Answer
Revenge
Surrealistic
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Apologetic
Atonement
5 points
Question 6
1.
At what point in an inmate’s stay at prison are they most likely to commit suicide?
Answer
After several years of a long sentence
After denial of a parole
When transferred from a local to a state prison
During the initial phase of imprisonment
5 points
Question 7
1.
If deviant behavior cannot be classified as psychotic or neurotic, a psychiatrist will classify it as a __________disorder.
Answer
Psychotic
Personality
Neurotic
Organic
5 points
If a person kills him or herself after murdering another, it is called ________ suicide.
Answer
Revenge
Surrealistic
Apologetic
Atonement
5 points
Question 6
1.
At what point in an inmate’s stay at prison are they most likely to commit suicide?
Answer
After several years of a long sentence
After denial of a parole
When transferred from a local to a state prison
During the initial phase of imprisonment
5 points
Question 7
1.
If deviant behavior cannot be classified as psychotic or neurotic, a psychiatrist will classify it as a __________disorder.
Answer
Psychotic
Personality
Neurotic
Organic
5 points

Peptic Ulcer With Ranitidine (Zantac)
Peptic Ulcer With Ranitidine (Zantac)
Question 1 A 42-year-old man is being treated for a peptic ulcer with ranitidine (Zantac) taken PO at bedtime. Even though few adverse effects are associated with this drug, one common adverse effect that can be severe is
A) headache
B) irritability
C) dry mouth
D) heart palpitations
Question 2 A patient on 5-FU calls the clinic and reports that he has between five and seven loose bowel movements daily. The nurse will instruct the patient to
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A) treat the diarrhea with OTC medications
B) avoid protein-rich foods
C) avoid grapefruit and grapefruit juice
D) notify the clinic if the stools are black or if there is evidence of blood
Question 3 A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment of GERD. Why are H2RAs more effective than H1 receptor antagonists in the treatment of diseases of the upper GI tract?
A) H2RAs have a longer duration of action and fewer adverse effects than H1RAs
B) The parietal cells of the stomach have H2 receptors but not H1 receptors
C) H2RAs may be administered orally and in an outpatient environment but H1RAs require intravenous administration
D) H2 receptors in the upper GI tract outnumber H1 receptors by a factor of 2:1
Question 4 To maximize the therapeutic effect of diphenoxylate HCl with atropine sulfate, the nurse will instruct the patient to take the medication
A) once a day
B) twice a day
C) every 2 hours
D) four times a day
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Question 5 A 22-year-old male college senior has lived with a diagnosis of Crohn’s disease for several years and has undergone several courses of treatment with limited benefit. Which of the following targeted therapies has the potential to alleviate the symptoms of Crohn’s disease?
A) Tositumomab plus 131I (Bexxar)
B) Muromonab-CD3 (Orthoclone OKT3)
C) Infliximab (Remicade)
D) Eculizumab (Soliris)
Question 6 A patient has been prescribed rabeprazole (Aciphex). It will be important for the nurse to assess the patient’s drug history to determine if the patient is taking which of the following drugs?
A) Levodopa
B) Morphine
C) Digoxin
D) Dicyclomine hydrochloride
Question 7 An adult patient who has been diagnosed with a rectal tumor is scheduled to begin treatment with cisplatin. The nurse has conducted patient teaching about the possibility of nausea and vomiting. In order to reduce the patient’s risk of severe nausea, the nurse should
A) place the patient on a low-residue diet
B) ensure that the patient is NPO from midnight prior to receiving the drug
C) administer a combination of antiemetics prior to the administration of the drug
D) encourage the patient to request antiemetics if the nausea becomes unbearable
Question 8 It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is prescribed. Which of the following should the nurse monitor to assess the efficacy of the lactulose therapy?
A) Water levels in the colon
B) Oncotic pressure in the colon
C) Blood ammonia levels
D) Relief from symptoms
Question 9 A 60-year-old man has scheduled a follow-up appointment with his primary care provider stating that the omeprazole (Prilosec) which he was recently prescribed is ineffective. The patient states,“I take it as soon as I feel heartburn coming on, but it doesn’t seem to help at all.” How should the nurse best respond to this patient’s statement?
A) “It could be that Prilosec isn’t the right drug for you, so it would be best to talk this over with your care provider.”
B) “Prilosec won’t really decrease the sensation of heartburn, but it is still minimizing the damage to your throat and stomach that can be caused by the problem.”
C) “Prilosec will help your heartburn but it’s not designed to provide immediate relief of specific episodes of heartburn.”
D) “A better strategy is to take a dose of Prilosec 15 to 30 minutes before meals or drinks that cause you to get heartburn.”
Question 10 A 33-year-old woman has irritable bowel syndrome (IBS). The physician has prescribed simethicone (Mylicon) for her discomfort.Which of the following will the nurse monitor most closely during the patient’s drug therapy?
A) Drug toxicity
B) Anorexia
C) Increased abdominal pain and vomiting
D) Increased urine output
Question 11 Mr. Tan is a 69-year-old man who prides himself in maintaining an active lifestyle and a healthy diet that includes adequate fluid intake. However, Mr. Tan states that he has experienced occasional constipation in recent months. What remedy should be the nurse’s first suggestion?
A) Bismuth subsalicylate
B) A bulk-forming (fiber) laxative
C) A stimulant laxative
D) A hyperosmotic laxative

Assignment: Cardiovascular Disease
Assignment: Cardiovascular Disease
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QUESTION 71
The PMHNP is assessing a patient who will be receiving phentermine (Adipex-P)/topiramate (Topamax) (Qsymia). Which of the following conditions/diseases will require further evaluation before this medication can be prescribed?
A. Kidney disease stage II B. Obesity C. Cardiovascular disease D. Diabetes type II
QUESTION 72
The PMHNP prescribes an obese patient phentermine (Adipex-p)/topiramate ER (Topamax) (Qsymia), Why is topiramate (Topamax) often prescribed with phentermine (Adipex-P)?
A. Phentermine (Adipex-P) dose can be increased safely when taken with an anticonvulsant. B. Phentermine (Adipex-P) works by suppressing appetite while topiramate (Topamax) acts by inhibiting appetite. C. Topiramate (Topamax) potentiates appetite suppression achieved by phentermine (Adipex-P). D. Topiramate (Topamax) helps prevent the unwanted side effects of phentermine (Adipex-P).
QUESTION 73
The PMHNP is assessing a patient who has expressed suicidal intent and is now stating that he is hearing voices and sees people chasing him. The PMHNP identifies these symptoms to be associated with which of the following?
A. Barbiturate intoxication B. Marijuana intoxication C. “Bath salt” intoxication D. Cocaine intoxication
QUESTION 74
The PMHNP is caring for a patient who openly admitted to drinking a quart of vodka daily. Prior to prescribing this patient disulfiram (Antabuse), it is important for the PMHNP to:
A. Evaluate the patient’s willingness to abstain from alcohol B. Counsel the patient on dietary restrictions C. Obtain liver function tests D. Assess for addiction to opioids
QUESTION 75 An opioid-naive patient is taking MS Contin (morphine sulfate) to treat his pain that is secondary to cancer. Under what circumstances would the PMHNP order naloxone (Narcan) IM/SQ?
A. The patient’s speech is slurred, and he is in and out of sleep. B. The patient’s appetite has decreased from eating 100% of his meal to 50% of his meal. C. The patient complains of not having a bowel movement for 4 days. D. The patient’s vital signs are 98.4F temp, 88 pulse, 104/62 blood pressure, and 8 respirations.
QUESTION 76
When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?
Yes No
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