Nokea
A client who is Type II on the Cultural Assessment Grid...
- A. Has cultural features in their environment contributing to their problems
- B. The client holds cultural features serving as resources for dealing with problems
- C. The client holds cultural features contributing to their problems
- D. N/A
Correct Answer: B
Rationale: Type II indicates cultural features as strengths or resources, not just problems, per the grid's framework.
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An adult recently diagnosed with AIDS is hospitalized with pneumonia. The patient and family are very anxious. Select the best outcome to add to the plan of care for this family.
- A. Describe the stages of the anticipatory grieving process.
- B. Identify and describe effective methods for coping with anxiety.
- C. Recognize ways dysfunctional communication is expressed in the family.
- D. Examine previously unexpressed feelings related to the patients sexuality.
Correct Answer: B
Rationale: Desired outcomes might be set for the family as a whole or for individuals within the family. The outcome most closely associated with the anxiety that each member is experiencing is to focus on identifying and describing ways of coping with the anxiety. The other options are not appropriate at this time.
The first step in understanding others is to begin by getting an understanding of
- A. Yourself
- B. Human relation principles
- C. Basic human behavior
- D. Basic cognitive psychology
Correct Answer: A
Rationale: Self-awareness is key to understanding others.
is a defense mechanism that block from consciousness painful memories and anxiety raising thoughts.
- A. Regression
- B. Depression
- C. Reaction formation
- D. Identification
Correct Answer: C
Rationale: Repression blocks distressing memories from awareness, unlike reaction formation which involves opposing behaviors.
ildren as young as years of age are aware of gender stereotypes.
- A. 6
- B. 4
- C. 3
- D. 5
Correct Answer: C
Rationale: Children recognize gender stereotypes by age 3, influenced by socialization and observation.
After treatment for a detached retina, a survivor of intimate partner abuse says, My partner only abuses me when I make mistakes. Ive considered leaving, but I was brought up to believe you stay together, no matter what happens. Which diagnosis should be the focus of the nurses initial actions?
- A. Risk for injury related to physical abuse from partner
- B. Social isolation related to lack of a community support system
- C. Ineffective coping related to uneven distribution of power within a relationship
- D. Deficient knowledge related to resources for escape from an abusive relationship
Correct Answer: A
Rationale: Risk for injury is the priority diagnosis because the partner has already inflicted physical injury during violent episodes. The other diagnoses are applicable, but the nurse must first address the patients safety.