Nokea
A therapeutic milieu is:
- A. A safe environment of care that is conducive to the prevention of medical errors.
- B. A client care area that provides personal privacy and the confidentiality of medical information.
- C. A European method of design and color to promote health and wellness.
- D. The provision of a therapeutic environment of consistency to promote health.
Correct Answer: D
Rationale: A therapeutic milieu (D) promotes health through consistency.
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You are the registered nurse in a multi ethnic community health department clinic. In this role you are asked to identify clients who have genetic risk factors related to ethnicity in order to screen them for some commonly occurring diseases and disorders. You would identify a client who is of:
- A. Mediterranean ethnicity for cystic fibrosis.
- B. African American ethnicity for Tay Sachs disease.
- C. British Isles ethnicity for psychiatric mental health disorders.
- D. Saudi Arabian ethnicity for sickle cell anemia.
Correct Answer: D
Rationale: Sickle cell anemia is more prevalent in individuals of Saudi Arabian descent.
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.
Describe how you would go about building a case plan as a case manager.
- A. Assess needs, set goals, identify resources, monitor
- B. Dictate goals, enforce rules, evaluate compliance
- C. Focus only on individual issues, ignore family
- D. Refer out all tasks to specialists
Correct Answer: A
Rationale: Building a case plan involves collaborative assessment, goal-setting, resource linkage, and progress tracking.
The child's ability to plan ahead develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: D
Rationale: Planning ahead requires abstract thinking, which develops in the formal operational stage (Piaget).
Direct observed treatment (DOT) is the appropriate treatment for patients with multi-drug-resistant tuberculosis. What is the best approach for physicians to initially take when a patient requires DOT?
- A. Immediately initiate DOT when the patient's diagnosis is confirmed
- B. Ensure the patient understands the diagnosis, the importance of the treatment, and how this will impact his/her life
- C. Alert the patient's family, friends, and coworkers of the elevated risk of tuberculosis infection
- D. Give the patient time to consider whether the DOT is within his/her budget
Correct Answer: B
Rationale: Understanding enhances patient buy-in and adherence to the rigorous DOT regimen.