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A young adult has recently had multiple absences from work. After each absence, this adult returned to work wearing dark glasses and long-sleeved shirts. During an interview with the occupational health nurse, this adult says, My partner beat me, but it was because I did not do the laundry. What is the nurses next action?
- A. Call the police.
- B. Arrange for hospitalization.
- C. Call the adult protective agency.
- D. Document injuries with a body map.
Correct Answer: D
Rationale: Documentation of injuries provides a basis for possible legal intervention. In most states, the abused adult would need to make the decision to involve the police. Because the worker is not an older adult and is competent, the adult protective agency is unable to assist. Admission to the hospital is not necessary.
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How can a physician help ensure that a single pregnant teenager has the support she needs?
- A. Contact the patient's parents and trust them to provide support for their daughter
- B. Ask the patient about all the important people in her day-to-day life
- C. Help the patient track down the baby's father
- D. Direct the patient to a social worker
Correct Answer: B
Rationale: Identifying key support figures empowers the patient to leverage her network.
Which information is the nurse most likely to find when assessing the family of a patient with a serious mental illness?
- A. The family exhibits many characteristics of dysfunctional families.
- B. Several family members have serious problems with their physical health.
- C. Power in the family is maintained in the parental dyad and rarely delegated.
- D. Stress from living with a mentally ill member has challenged the familys function.
Correct Answer: D
Rationale: The information almost universally obtained is that the family is under stress associated with having a mentally ill member. This stress lowers the familys level of functioning in at least one significant way. Stress does not necessarily mean the family has become dysfunctional.
A terminally ill patient tells the nurse, Life has been good. I am proud of being self-educated. I overcame adversity with willpower. I always gave my best and expected things to turn out well. I intend to die as I lived: optimistically. The nurse planning care for this patient recognizes a critical need to:
- A. provide aggressive pain and symptom management.
- B. help the patient reassess and explore existing conflicts.
- C. assist the patient to focus on the meaning in life and death.
- D. support the patients use of personal resources to meet challenges.
Correct Answer: D
Rationale: The patient whose intrinsic strength and endurance have been a hallmark often wishes to approach dying by staying optimistic and in control. Helping the patient use his or her resources to meet challenges is appropriate.
he theorist who believes that human behavior is influenced by modeling is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: D
Rationale: Albert Bandura's social learning theory emphasizes modeling as a key influence.
Which of the following is most closely aligned with the principles and concepts of informed consent?
- A. Justice
- B. Fidelity
- C. Self determination
- D. Nonmalficence
Correct Answer: C
Rationale: Informed consent upholds the principle of self-determination.