Nokea
A patient tells the nurse, My husband lost his job. Hes abusive only when he drinks too much. His family was like that when he was growing up. He always apologizes and regrets hurting me. What risk factor was most predictive for the husband to become abusive?
- A. History of family violence
- B. Loss of employment
- C. Abuse of alcohol
- D. Poverty
Correct Answer: A
Rationale: An abuse-prone individual is an individual who has experienced family violence and was often abused as a child. This phenomenon is part of the cycle of violence. The other options may be present but are not as predictive.
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Individual's sense of being able to manage tasks successfully is their
- A. Self-absorption
- B. Self-efficacy
- C. Self-confidence
- D. Self-reliance
Correct Answer: B
Rationale: Self-efficacy (Bandura) is belief in task-specific capability.
At a synapse, the determination of further impulse transmission is accomplished by means of
- A. potassium ions.
- B. interneurons.
- C. neurotransmitters.
- D. myelin sheath.
Correct Answer: C
Rationale: Impulse transmission at a synapse is primarily facilitated by neurotransmitters, which carry signals across the synaptic gap, aligning with option c.
Which of the following is a feature of pre-psychotic prodrome?
- A. Seizures.
- B. Migrainous headaches.
- C. Mood changes.
- D. Hallucinations.
Correct Answer: C
Rationale: The pre-psychotic prodrome often includes subtle mood changes, social withdrawal, and reduced functioning, but not typically seizures or hallucinations, which occur later.
Which comment by a mother during a family therapy session shows evidence of scapegoating?
- A. Our youngest child always starts arguments and upsets everyone else.
- B. We all express our feelings openly except when we think it might upset my husband.
- C. Our oldest child knows that my husband and I are doing all we can for the others.
- D. After my husband has been drinking, I have to get everyone up and ready for school.
Correct Answer: A
Rationale: Scapegoating is blaming family problems on a member of the family who is not very powerful. The purpose of the blaming is to keep the focus off painful issues and off the blamers themselves. A double-bind message, such as We all express our feelings openly except when, involves giving instructions that are inherently contradictory or that place the person in a no-win situation. Our oldest child knows that is an example oftriangulation, wherein a third party is engaged to help stabilize an unstable pair within the family. A child assuming parental responsibilities (e.g., caring for siblings) because a parent fails to do so is an example of enabling.
After your assessment of your client and the need to transfer your client from the bed to the chair, what is the best and safest way to transfer this paralyzed client when you suspect that you will need the help of another for the client's first transfer out of bed?
- A. Use a slide board.
- B. Use a mechanical lift.
- C. Use a gait belt.
- D. Notify the client's doctor that the client cannot be safely transferred by you.
Correct Answer: B
Rationale: Mechanical lifts are safest for transferring paralyzed clients.