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A battered woman in the womens shelter states that she is afraid to go home because he drinks. Thats when he gets violent and he beats me. Which of the following reflects accurate knowledge about domestic violence and alcohol use?
- A. If you can get him to quit drinking, the beating will stop.
- B. Alcohol use can increase the chances of abuse.
- C. People who use alcohol almost always end up as abusers.
- D. Hes just using the alcohol as an excuse to beat you.
Correct Answer: B
Rationale: The other responses are inaccurate. Alcohol reduces inhibitions that can lead to aggressive behaviors.
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A terminally ill patient tells the nurse, Life has been good. I am proud of being self-educated. I overcame adversity with willpower. I always gave my best and expected things to turn out well. I intend to die as I lived: optimistically. The nurse planning care for this patient recognizes a critical need to:
- A. provide aggressive pain and symptom management.
- B. help the patient reassess and explore existing conflicts.
- C. assist the patient to focus on the meaning in life and death.
- D. support the patients use of personal resources to meet challenges.
Correct Answer: D
Rationale: The patient whose intrinsic strength and endurance have been a hallmark often wishes to approach dying by staying optimistic and in control. Helping the patient use his or her resources to meet challenges is appropriate.
The ability to reverse mental processes develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Reversibility (e.g., undoing actions mentally) emerges in concrete operational stage (Piaget).
Which of the following clients is at greatest risk for extravasation?
- A. The client with heart failure who is receiving Ringer's lactate
- B. The client with cancer who is receiving bendamustine
- C. The client who is receiving potassium supplementation intravenously
- D. The client who is receiving total parenteral nutrition
Correct Answer: B
Rationale: Bendamustine (B) is a vesicant, increasing extravasation risk.
How can a physician help ensure that a single pregnant teenager has the support she needs?
- A. Contact the patient's parents and trust them to provide support for their daughter
- B. Ask the patient about all the important people in her day-to-day life
- C. Help the patient track down the baby's father
- D. Direct the patient to a social worker
Correct Answer: B
Rationale: Identifying key support figures empowers the patient to leverage her network.
Select the member of the multidisciplinary team that you would most likely collaborate with when the client can benefit from the use of adaptive devices for cutting food?
- A. The physical therapist
- B. The occupational therapist
- C. The dietician
- D. The podiatrist
Correct Answer: B
Rationale: Occupational therapists focus on daily living skills and adaptive equipment.