Which type of intervention is not usually useful for Level 4 families?
- A. Object relations family interventions
- B. Family sculpting
- C. Case management
- D. Genograms
Correct Answer: C
Rationale: Level 4 families focus on abstract, philosophical concerns, so case management, which addresses concrete needs, is less relevant compared to insight-oriented interventions.
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Under what conditions is the DOT program most successful?
- A. When DOT is carried out in a way that is convenient for a patient to enable completion of the recommended therapy
- B. When DOT is monitored directly by an attending physician at a local health center
- C. When DOT is only administered when the patient's symptoms of illness are most severe, based on the patient's wishes
- D. When DOT is administered when the patient cooperates with hospital instructions
Correct Answer: A
Rationale: Convenience ensures patients can complete DOT, critical for its success.
Parents of a teenager recently diagnosed with serious mental illness express dismay. One parent says, Our hopes for our childs future are ruined. We probably wont ever have grandchildren. The nurse will use interventions to assist with:
- A. denial.
- B. grieving.
- C. acting out.
- D. manipulation.
Correct Answer: B
Rationale: Grief is a common reaction to having a family member diagnosed with mental illness. The grief stems from actual or potential losses, such as the familys ability to function, financial well-being, and altered future. Data do not support choosing any of the other options.
Which basic activity of daily living assistive device can be useful for the client who is affected with poor fine motor coordination?
- A. An aphasia aid
- B. A button hook
- C. Honey thickened liquids
- D. A word board
Correct Answer: B
Rationale: A button hook (B) aids fine motor tasks like dressing.
The psychosexual stage associated with exploration is
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: A
Rationale: The oral stage (birth-1 year) involves exploration through the mouth (Freud).
The psychological test measure projective personality is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: A
Rationale: The Rorschach test uses projective techniques to uncover personality traits.