Nokea
A person who has an extreme lack of self-confidence and who allows others to run his or her life is said to have a(n) personality
- A. dependent
- B. narcissistic
- C. paranoid
- D. antisocial
Correct Answer: A
Rationale: Dependent personality disorder involves excessive reliance on others and low self-confidence, matching this description.
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A victim of physical abuse by her domestic partner is being treated for a broken humerus. Which indicator for the outcome of Abuse protection is most important to achieve before the patient leaves the emergency department?
- A. The patient has completed and reviewed a workable safety plan.
- B. She agrees to seek a restraining order limiting contact by the perpetrator.
- C. The patient demonstrates insight into the abusive nature of the relationship.
- D. She has been referred to counseling and battered-person support groups.
Correct Answer: A
Rationale: The correct answer is A because a safety plan is crucial for the victim's immediate safety and future protection. It helps the victim know what to do in case of danger, ensuring a proactive approach to safety. Choice B may not always be feasible or effective in preventing further abuse. Choice C, while important, does not guarantee safety outside the emergency department. Choice D is beneficial but does not address the immediate safety concerns as effectively as having a safety plan in place. Thus, completing and reviewing a workable safety plan is the most important indicator for the outcome of abuse protection in this scenario.
A mother discusses her concerns about genetic transmission of schizophrenia with the nurse saying, 'My son is a fraternal twin. He has been diagnosed with schizophrenia. Will my other son develop schizophrenia, too?' The response that is both sensitive and shows understanding of the genetic component is:
- A. You poor woman! I wish I could tell you he will be free of the disorder.'
- B. Studies show that 50% of twins develop schizophrenia when it is present in the other twin.'
- C. No one can say what will happen, so we will hope for the best for you and your sons.'
- D. In fraternal twins, the chance of the other twin developing the disorder is quite small.'
Correct Answer: D
Rationale: The correct answer is D because it provides an accurate and sensitive response. Fraternal twins do not share the exact genetic makeup, so the chance of the other twin developing schizophrenia is lower compared to identical twins. This response acknowledges the genetic component of schizophrenia while also offering reassurance based on the understanding of genetic transmission.
Choices A and C are incorrect because they do not provide accurate information about the genetic risk of schizophrenia in fraternal twins and may not offer the mother a clear understanding of the situation. Choice B is incorrect as it provides a generalized statistic for identical twins, not fraternal twins, which could lead to unnecessary anxiety for the mother.
The main reasons that childhood obesity rates are higher among the areas of the highest poverty are
- A. Limited access to parks
- B. Limited access to recreational areas
- C. Children in areas of poverty eat less fruits and vegetables and more chips and soda
- D. All of the above
Correct Answer: D
Rationale: Poverty limits access to healthy food and recreation, driving higher obesity rates in children.
A patient was abducted and raped at gunpoint by an unknown assailant. Which nursing interventions are appropriate while caring for the patient in the emergency department? Select all that apply.
- A. Allow the patient to talk at a comfortable pace.
- B. Place the patient in a private room with a caregiver.
- C. Pose questions in nonjudgmental, empathetic ways.
- D. None of the above.
Correct Answer: A
Rationale: The correct answer is A: Allow the patient to talk at a comfortable pace. This intervention is appropriate because it promotes the patient's autonomy and empowerment in sharing their experience, which can be therapeutic. It also helps establish trust and rapport, facilitating effective communication and assessment.
Incorrect choices:
B: Placing the patient in a private room with a caregiver can be important for privacy and support but may not be the immediate priority.
C: Posing questions in nonjudgmental, empathetic ways is crucial but may not be as important as allowing the patient to talk at their own pace initially.
D: None of the above is incorrect as allowing the patient to talk is a crucial step in providing appropriate care for a patient who has experienced trauma.
An individual is brought by ambulance to the emergency room. The patient's roommate reports that the patient was weak and confused on awakening and began "rambling and talking crazy"Â about 3 hours ago. A nurse notes that the patient's skin is flushed and dry. When transferred to a bed, the patient strikes out at the staff and shouts, "You're not going to kill me!"Â The most likely analysis of this behavior is:
- A. disturbed self-esteem related to catastrophic reaction.
- B. disturbed sensory perception related to altered brain function.
- C. other-directed violence related to fear associated with hospitalization.
- D. impaired environmental interpretational syndrome related to metabolic disturbance.
Correct Answer: B
Rationale: The correct answer is B: disturbed sensory perception related to altered brain function. The patient's presenting symptoms of confusion, rambling speech, physical aggression, and paranoia suggest an altered mental state. The flushed and dry skin may indicate dehydration, which can affect brain function. The behavior is likely a result of the patient's distorted sensory perceptions due to an underlying physiological or neurological issue.
Incorrect choices:
A: disturbed self-esteem related to catastrophic reaction - This choice does not address the patient's specific symptoms and is not supported by the scenario.
C: other-directed violence related to fear associated with hospitalization - While fear of hospitalization may contribute to violence, it does not explain the patient's overall presentation of altered mental status.
D: impaired environmental interpretational syndrome related to metabolic disturbance - This choice does not directly address the patient's symptoms and does not explain the confusion and paranoia displayed.