Nokea
At this stage the group members will begin to develop a feeling of group cohesion and identity:
- A. Forming
- B. Storming
- C. Norming
- D. Performing
Correct Answer: C
Rationale: Norming (Tuckman) fosters cohesion and a unified group identity through shared norms.
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Shaken baby syndrome refers to:
- A. The increasing rate of epilepsy and other seizure disorders in infants born to mothers with a history of psychiatric disorders.
- B. A form of child abuse in which a baby is shaken hard enough to cause trauma and death.
- C. The physical and developmental problems faced by infants of drug-addicted mothers.
- D. The psychological trauma that children experience from perceived threats to their safety.
Correct Answer: B
Rationale: Shaken baby syndrome occurs when a caregiver shakes a child to control crying. It is a form of child abuse.
How might the perspectives of financially secure patients with respect to end-of-life care differ from those of disadvantaged patients?
- A. Financially secure patients are more likely to insist that everything be done to keep them alive
- B. Disadvantaged patients may interpret end-of-life care as an attempt to deny essential treatments
- C. Disadvantaged patients are more likely to want to spend their last days outside the hospital
- D. Financially secure patients are more likely to demand placement in assisted living facilities to avoid burdening their families
Correct Answer: B
Rationale: Disadvantaged patients may distrust end-of-life care due to historical inequities, perceiving it as withheld treatment.
What treatment does a nurse expect to initiate for a depressed patient who is agitated, vomiting, hyperthermic, hyperreflexive, and tachycardic?
- A. Serotonin syndrome: Anticonvulsants for seizures
- B. Clonazepam for myoclonus
- C. Lorazepam for restlessness and agitation
- D. Palpitations
Correct Answer: A
Rationale: The correct answer is A: Serotonin syndrome: Anticonvulsants for seizures. The patient's symptoms of agitation, vomiting, hyperthermia, hyperreflexia, and tachycardia are indicative of serotonin syndrome. Treatment involves stopping the offending medications, supportive care, and in severe cases, anticonvulsants for seizures. Choice B (Clonazepam) is incorrect as it is used for myoclonus, not the main symptoms presented. Choice C (Lorazepam) is incorrect as it is used for restlessness and agitation but not specifically for serotonin syndrome. Choice D (Palpitations) is incorrect as it is a symptom of serotonin syndrome, not a treatment.
Which of the following is a common ethical challenge for family practitioners?
- A. Choosing to focus on the welfare of the individual or the family
- B. Avoiding upsetting the family system through disclosure of therapist faith
- C. Choosing which theoretical orientation to apply to an individual family
- D. N/A
Correct Answer: A
Rationale: Balancing individual vs. family welfare is a frequent ethical dilemma in systemic therapy.
Which comment by the nurse would best support relationship building with a survivor of intimate partner abuse?
- A. You are feeling violated because you thought you could trust your partner.
- B. Im here for you. I want you to tell me about the bad things that happened to you.
- C. I was very worried about you. I knew you were living in a potentially violent situation.
- D. Abusers often target people who are passive. I will refer you to an assertiveness class.
Correct Answer: A
Rationale: The correct option uses the therapeutic technique of reflection. It shows empathy, an important nursing attribute for establishing rapport and building a relationship. None of the other options would help the patient feel accepted.