All of the following are pitfalls of the Social Constructionist Perspective except:
- A. Seeing any interpretation as being good as any other
- B. Lack of emphasis on shifts from actions to meanings, from expertise to collaboration
- C. Inattention to power differences in family and community regarding interpretations
- D. Assuming that social constructionism has all the answers and that they are the best
Correct Answer: B
Rationale: Shifting to meanings and collaboration is a strength, not a pitfall, of this perspective.
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Shaken baby syndrome refers to:
- A. The increasing rate of epilepsy and other seizure disorders in infants born to mothers with a history of psychiatric disorders.
- B. A form of child abuse in which a baby is shaken hard enough to cause trauma and death.
- C. The physical and developmental problems faced by infants of drug-addicted mothers.
- D. The psychological trauma that children experience from perceived threats to their safety.
Correct Answer: B
Rationale: Shaken baby syndrome occurs when a caregiver shakes a child to control crying. It is a form of child abuse.
Which of the following barriers to health care may have created health disparities for lesbians in the U.S.?
- A. Homophobia
- B. Lack of insurance
- C. Socioeconomic level
- D. Level of education
Correct Answer: A
Rationale: Homophobia drives disparities by limiting access and comfort in care settings.
How may a physician maintain rapport with a patient and his/her family after gaining their consent?
- A. Provide information about a patient's status when convenient
- B. Alternate with a qualified nurse in seeing the patient and family
- C. Always use proper medical jargon to reflect personal proficiency
- D. Set goals that focus on the patient and are understandable to the family
Correct Answer: D
Rationale: Clear, patient-focused goals sustain trust and communication.
The Montessori approach believes materials should be
- A. Teacher-provided
- B. Child-selected
- C. Standardized
- D. Simple
Correct Answer: B
Rationale: Montessori materials are child-selected to encourage autonomy.
What is the role of the physician when the patient lacks decisionmaking capacity and someone other than a family member has been designated as the surrogate decision maker?
- A. Follow the instructions of the family and ignore the surrogate
- B. Ignore the family and talk only to the surrogate
- C. Serve as a mediator between parties and encourage all groups to work together in the best interest of the patient, consistent with the patient's wishes
- D. Consult legal affairs to determine who should be the decisionmaker
Correct Answer: C
Rationale: Mediation ensures collaboration and honors the patient's designated surrogate.