Nokea
A nurse interviews a homeless parent with two teenage children. To best assess the familys use of resources, the nurse should ask:
- A. Can you describe a problem your family has successfully resolved?
- B. What community agencies have you found helpful in the past?
- C. What aspect of being homeless is most frightening for you?
- D. Do you feel you have adequate resources to survive?
Correct Answer: B
Rationale: The correct option asks about use of resources in an open, direct fashion. It will give information about choices the family has made regarding use of resources in the community. The other questions do not address prior use of resources or focus on other aspects of coping.
You may also like to solve these questions
A patient arrives at the hospital and describes his inability to achieve an erection after taking his Zoloft for the last three months. The nurse instructs:
- A. Can discuss switching medications with physician
- B. but do not abruptly stop taking medication - can cause withdrawal symptom
- C. Polyuria
- D. Weight gain
Correct Answer: A
Rationale: Step 1: Zoloft is known to cause sexual side effects like erectile dysfunction.
Step 2: The nurse should recommend discussing switching medications with the physician to address the issue.
Step 3: Switching medications may help alleviate the erectile dysfunction without compromising the patient's mental health treatment.
Summary:
Option A is correct as it directly addresses the patient's concern and offers a potential solution. Options B, C, and D are incorrect as they are unrelated to the patient's issue with erectile dysfunction caused by Zoloft.
Jack and Ann have come to the clinic for family therapy. They have been married for 18 years. Jack had an affair with his secretary 5 years ago. He fired the secretary and assures Ann and the nurse that he has been faithful ever since. Jack tells the nurse, 'We have never been able to get along with each other. We can’t talk about anything . . . all we do is shout at each other. And every time she gets angry with me, she brings up my infidelity. I can’t even imagine how many times each of us has threatened divorce over the years. Our kids don’t have any idea what it is like to have parents who get along with each other. I’ve really had enough!' The nurse would most likely document which of the following in her assessment of this couple?
- A. Marital skew
- B. Pseudohostility
- C. Double-bind communication
- D. Marital schism
Correct Answer: D
Rationale: The correct answer is D: Marital schism. Marital schism refers to a state of constant conflict and disengagement in a marriage. In this scenario, Jack and Ann exhibit a significant disconnect in their relationship, as evidenced by their inability to communicate effectively, frequent shouting matches, and unresolved issues such as Jack's infidelity. The nurse would likely document a marital schism in her assessment due to the ongoing discord and lack of emotional connection between the couple.
Incorrect choices:
A: Marital skew typically refers to power imbalances in a relationship, which is not the primary issue in this case.
B: Pseudohostility involves false or exaggerated hostility, which is not the main concern in Jack and Ann's situation.
C: Double-bind communication involves contradictory messages leading to confusion, which is not the central issue in this scenario.
Which of the following best describes a social gambler?
- A. Someone who gambles for the heightened thrill and needs higher bets to achieve the same feeling.
- B. Gambles for fun during new year gatherings.
- C. Believes gambling is a way to make money, similar to financial investment.
- D. Steals money to feed the gambling habit.
Correct Answer: B
Rationale: Social gambling is casual, recreational, and often tied to social events like New Year gatherings, without significant negative consequences.
Undesirable behaviour is also weakened or eliminated by
- A. Positive reinforcement
- B. Extinction
- C. Equilibrium
- D. All of these
Correct Answer: B
Rationale: Extinction removes reinforcement to weaken behavior (Skinner).
Psychotropic medications that are strong blockers of the D2 receptor may result in which of the following side effects?
- A. Sedation
- B. Urinary retention
- C. Extrapyramidal symptoms
- D. Hypertensive crisis
Correct Answer: C
Rationale: Strong D2 receptor blockade, commonly associated with antipsychotic medications, can lead to extrapyramidal symptoms (e.g., parkinsonism, dystonia), aligning with option c.