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A parent says, My son and I argue constantly since he started using drugs. When I talk to him about not using drugs, he tells me to stay out of his business. What is the nurses first most appropriate action?
- A. Educate the parent about stages of family development.
- B. Report the son to law enforcement authorities.
- C. Refer the son for substance abuse treatment.
- D. Make a referral for family therapy.
Correct Answer: D
Rationale: Family therapy is indicated, and the nurse should provide a referral. Reporting the child to law enforcement would undermine trust and violate confidentiality. The other distracters may occur later.
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ETHNIC is a framework for culturally competent clinical practice. Which of the following choices is not a component of this acronym?
- A. Explanation
- B. Healers
- C. Interpretation
- D. Collaboration
Correct Answer: C
Rationale: ETHNIC includes Explanation, Healers, Negotiation, Intervention, Collaboration; Interpretation is not part of it.
The process of naming is important to understand symbolic interactions because
- A. We can only understand things we have a name for
- B. Words have a default assumption that influences how we interpret world
- C. Words can confuse us by how many we know
- D. All of these are correct
Correct Answer: A
Rationale: Naming enables symbolic interaction by assigning meaning (Mead).
Which era of life influences on human behavior:
- A. Childhood till 6 years
- B. Life after first job
- C. Adolescents
- D. Adulthood
Correct Answer: A
Rationale: Early childhood (0-6 years) significantly shapes behavior, per Freud, Piaget, and Erikson.
How many characteristics of a good case study:
- A. 3
- B. 4
- C. 5
- D. 6
Correct Answer: D
Rationale: Good case studies have 6 traits: depth, validity, reliability, detail, uniqueness, and utility.
Frank is a Latino American who has an appointment at the community health center for 1:00 p.m. The nurse is angry when Frank shows up at 3:30 p.m. stating, 'I was visiting with my brother.' How must the nurse interpret this behavior?
- A. Frank is being passive-aggressive by showing up late.
- B. This is Frank's way of defying authority.
- C. Frank is a member of a cultural group that is present-time oriented.
- D. Frank is a member of a cultural group that rejects traditional medicine.
Correct Answer: C
Rationale: Frank's lateness, explained by visiting his brother, reflects a cultural orientation common in some Latino communities where present-time social interactions may take priority over strict punctuality, aligning with option c.