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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 psychoanalytical theory emphasizes importance of
- A. Conscious mind
- B. Unconscious mind
- C. Behavior
- D. Social interaction
Correct Answer: B
Rationale: Freud's psychoanalysis focuses on the unconscious mind as the driver of behavior.
An adult has recently been absent from work for 3-day periods on several occasions. Each time, the individual returned wearing dark glasses. Facial and body bruises were apparent. What is occupational health nurses priority assessment?
- A. Interpersonal relationships
- B. Work responsibilities
- C. Socialization skills
- D. Physical injuries
Correct Answer: D
Rationale: The individual should be assessed for possible battering. Physical injuries are abuse indicators and are the primary focus for assessment. No data support the other options.
The child's ability to understand patterns develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Pattern recognition, tied to logical thinking, emerges in the concrete operational stage (Piaget).
The theorist who believes in sociocultural development is
- A. Sigmund Freud
- B. Carl Rogers
- C. Lev Vygotsky
- D. Erik Erikson
Correct Answer: C
Rationale: Vygotsky's sociocultural theory emphasizes social and cultural influences.
The child's ability to understand abstract thinking develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: D
Rationale: Abstract thinking, like hypothetical reasoning, develops in the formal operational stage (Piaget).