A 15-year-old is hospitalized after a suicide attempt. This adolescent lives with the mother, stepfather, and several siblings. When performing a family assessment, the nurse must first determine:
- A. how the family expresses and manages emotion.
- B. names and relationships of the familys members.
- C. the communication patterns between the patient and parents.
- D. the meaning that the patients suicide attempt has for family members.
Correct Answer: B
Rationale: The identity of the members of the family is the most fundamental information and should be obtained first. Without this, the nurse cannot fully process the other responses.
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The treatment method known as behavior modification is based on the theory of the behavioral theorists Skinner and
- A. Pavlov
- B. Freud
- C. Erikson
- D. Maslow
Correct Answer: A
Rationale: Behavior modification is used to eliminate and decrease the frequency of identified negative behaviors. Skinner and Pavlov were leaders in developing this theory.
Which of the following questions can be used to initiate the process of 'LEARNing?'
- A. When can I see you again?
- B. What do you think your sickness does to you?
- C. Have you been taking your medication?
- D. When was the last time you came in?
Correct Answer: B
Rationale: This question elicits the patient's explanatory model, a key step in the LEARN framework.
can sometimes be associated with developmental disorders, such as autism and neurofibromatosis:
- A. Epilepsy
- B. Migraine
- C. Head Trauma
- D. Head injury
Correct Answer: A
Rationale: Epilepsy is linked to developmental disorders like autism, per neurological research.
What is the difference between sex and gender?
- A. Gender is about looks, sex about preferences
- B. Gender is flexible, sex is fixed
- C. Sex is biological, gender is socially constructed
- D. Sex is upbringing, gender is lifestyle
Correct Answer: C
Rationale: Sex is biological (e.g., chromosomes); gender is a social construct.
A person whose spouse died two years earlier tells friends, I think I'll start going out socially, maybe even take someone to dinner. This comment best demonstrates that the individual is:
- A. denying the significance of the loss.
- B. in a period of resolution of grief.
- C. actively working through grief.
- D. experiencing intrusion.
Correct Answer: B
Rationale: Toward the end of the grief process, the person renews his or her interest in people and activities. This behavior indicates resolution. At the same time, the person is released from the relationship with the deceased. The patient has progressed beyond grief. The patient is seeking to move into new relationships so that he or she is not alone.