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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The psychological test measure verbal comprehension is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: C
Rationale: The WAIS includes verbal comprehension subtests to assess language skills.
An older adult client has been asked to participate in a randomized controlled trial (RCT) related to the development of a new psychotropic medication. The nurse responsibly acts as the client's advocate when:
- A. Reassuring the client that the process of RCTs is a perfectly safe one.
- B. Explaining to the client the possible risks involved in participating in this particular RCT.
- C. Educating the client's family concerning the details of participating in such a medication-focused RCT.
- D. Assessing the degree of understanding the client has about what a medication-focused RCT will involve.
Correct Answer: D
Rationale: The correct answer is D because assessing the client's understanding is crucial to ensure informed consent and autonomy. By assessing the client's comprehension, the nurse can verify if the client is aware of the potential risks, benefits, and procedures involved in the RCT. This step is essential to uphold the client's rights and ensure they make an informed decision.
Choice A is incorrect because it does not address the importance of assessing the client's understanding and may provide false reassurance. Choice B is incorrect as it only focuses on explaining risks without assessing the client's comprehension. Choice C is incorrect as educating the family does not ensure the client's understanding and involvement in decision-making.
Individuals develop their self-efficacy beliefs by interpreting information from four main sources of influence:
- A. Albert Bandura 1967
- B. Albert Bandura 1697
- C. Albert Bandura 1977
- D. Albert Einstein 1977
Correct Answer: C
Rationale: Bandura outlined 4 self-efficacy sources (mastery, vicarious, persuasion, emotion) in 1977.
Diverse cultural beliefs can result in dramatically varied perceptions of wellness, disease, and the treatment of disease. In order to best address these variations when planning nursing care, the nurse and client initially:
- A. Agree to respect each other's beliefs and values.
- B. Discuss what the client believes is the cause of his or her illness.
- C. Agree that treatment planning will include family members when possible.
- D. Discuss the incorporation of both traditional nursing practice and culturally based practices.
Correct Answer: B
Rationale: The correct answer is B: Discuss what the client believes is the cause of his or her illness. This is the best initial step to address cultural variations in perceptions of wellness and disease because it allows the nurse to understand the client's perspective and tailor care accordingly. By exploring the client's beliefs, the nurse can identify any cultural factors that may impact treatment decisions.
A: Agree to respect each other's beliefs and values - While important, this is a broader concept and may not directly address the specific cultural beliefs influencing the client's health views.
C: Agree that treatment planning will include family members when possible - Involving family members is valuable but may not directly address the immediate need to understand the client's beliefs about illness.
D: Discuss the incorporation of both traditional nursing practice and culturally based practices - This is important but may be premature without first understanding the client's specific beliefs about illness.
The difference between child abuse and child neglect is:
- A. Abuse is done on purpose; neglect is accidental.
- B. Abuse is an act of commission; neglect is an act of omission.
- C. Abuse is a crime; neglect is not.
- D. Children are often afraid to report abuse, but are willing to report neglect.
Correct Answer: B
Rationale: Abuse is purposeful mistreatment of another (therefore commission) and neglect is deprivation that is an omission of needed care.