Nokea
A nurse talks with a person whose spouse died suddenly while jogging. Which is the appropriate statement for the nurse?
- A. At least your spouse did not suffer.
- B. It's better to go quickly as your spouse did.
- C. The loss of your spouse must be very painful for you.
- D. You'll begin to feel better after you get over the shock.
Correct Answer: C
Rationale: The most helpful responses by others validate the bereaved persons experience of loss. Avoid banalities; they increase the individuals sense of isolation.
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Joe, a Native American, appears at the community health clinic with an oozing stasis ulcer on his lower right leg. It is obviously infected, and he tells the nurse that the shaman has been treating it with herbs. The nurse determines that Joe needs emergency care, but Joe states he will not go to the emergency department (ED) unless the shaman is allowed to help treat him. How should the nurse handle this situation?
- A. Contact the shaman and have him meet them at the ED to consult with the attending physician.
- B. Tell Joe that the shaman is not allowed in the ED.
- C. Explain to Joe that the shaman is at fault for his leg being in the condition it is in now.
- D. Have the shaman try to talk Joe into going to the ED without him.
Correct Answer: A
Rationale: Joe's cultural reliance on the shaman for treatment requires the nurse to respect this belief by allowing the shaman's involvement in the ED, ensuring cultural sensitivity and compliance with treatment, aligning with option a.
When it is suggested that a stress management therapy group have its membership limited to 15 participants, the nurse manager responds:
- A. That is really too many people; enroll only the first 7 who demonstrate a genuine interest in attending.'
- B. OK, but stop enrollment at 15; chances are excellent that not everyone who signed up will end up attending.'
- C. Well, 15 is a lot but it is manageable if the individuals include spouses, family members, siblings, or even long-term partners.'
- D. The maximum number that supports therapeutic work is 10; we can create two separate groups if we have that much interest in the service.'
Correct Answer: D
Rationale: The correct answer is D because it addresses the need for effective therapeutic work. By stating that the maximum number supporting therapeutic work is 10, it indicates an understanding of group dynamics and ensures each member receives adequate attention and participation in the group process. Creating two separate groups if there is more interest demonstrates flexibility while maintaining the quality of the therapy sessions.
A: This answer limits enrollment based on interest, which may not necessarily correlate with the effectiveness of the therapy group.
B: This answer assumes that not everyone who signs up will attend, which does not address the issue of group dynamics and therapeutic effectiveness.
C: This answer suggests including additional individuals beyond the 15 limit, which could lead to overcrowding and hinder the therapeutic process.
----% have mild intellectual disability:
- A. 88
- B. 89
- C. 85
- D. 86
Correct Answer: C
Rationale: About 85% of those with intellectual disability have mild forms, manageable with support.
The best way to objectively evaluate the effectiveness of an individual staff member's time management skills in a longitudinal manner is to:
- A. Observe the staff member during an entire shift of duty to determine whether or not the nurse has accurately and appropriately established priorities.
- B. Observe the staff member during an entire shift of duty to determine whether or not the nurse has accurately and appropriately completed priority tasks.
- C. Ask the staff member how they feel like they have been able to employ their time management skills for the last six months.
- D. Collect outcome data over time and then aggregate and analyze this data to determine whether or not the staff member has completed reasonable assignments in the allotted time before the end of their shift of duty.
Correct Answer: D
Rationale: Longitudinal evaluation requires data collection and analysis over time.
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.