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An 11-year-old reluctantly tells the nurse, My parents dont like me. They said they wish I was never born. Which type of abuse is likely?
- A. Sexual
- B. Physical
- C. Emotional
- D. Economic
Correct Answer: C
Rationale: Examples of emotional abuse include having an adult demean a childs worth, frequently criticize, or belittle the child. No data support physical battering or endangerment, sexual abuse, or economic abuse.
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Which intervention will have the greatest impact on reducing the stigma and rejection currently experienced by individuals with mental illness?
- A. Providing services to the mentally ill that minimize the need to rely upon the community
- B. Holding activities at mental health facilities that are open to the community to foster acceptance
- C. Educating local citizen groups on the needs and experiences of the mentally ill in their community
- D. Focusing on improving the socialization skills of mentally ill individuals living in the community
Correct Answer: C
Rationale: The correct answer is C: Educating local citizen groups on the needs and experiences of the mentally ill in their community. This intervention addresses the root cause of stigma - lack of understanding and awareness. By educating the community, misconceptions can be corrected, empathy can be cultivated, and stigma can be reduced. Choice A does not directly address stigma reduction but rather focuses on minimizing reliance on the community. Choice B, while promoting acceptance, may not necessarily tackle stigma at its core. Choice D, improving socialization skills, is beneficial but may not address the systemic issue of stigma. Ultimately, educating the community is key to fostering a more inclusive and supportive environment for individuals with mental illness.
You are providing care to a permanently disabled Iraqi war veteran who is 28 years of age. When he returned home from the war at the age of 24 years of age 2 years ago he was deemed permanently disabled by both the Veterans Administration(VA) and the Social Security Administration. He receives a substantial monthly service connected disability check from the Veterans Administration and he has no spouse or legal dependents. Which type of governmental health insurance is he now entitled to?
- A. Only the VA health care services because he is not 65 years of age
- B. Medicare because he has been deemed permanently disabled for 2 years
- C. Medicaid because he is permanently disabled and not able to work
- D. Choices B and C
Correct Answer: B
Rationale: Medicare eligibility extends to individuals who have been deemed permanently disabled for 2 years.
Which of the following is an accurate statement about the Educational Commission for Foreign Medical Graduates (ECFMG)?
- A. ECFMG assists with learning English as a second language
- B. ECFMG fully prepares foreign graduates to discuss medical decision-making
- C. Completion of the ECFMG is comparable to an immersion experience
- D. Completion of the ECFMG may mask genuine problems with English fluency, which may affect doctor-patient communication
Correct Answer: D
Rationale: ECFMG certification may not fully address language barriers.
Ginger, age 19 and an only child, left 3 months ago to attend a college of her choice 500 miles away from her parents. It is Ginger’s first time away from home. She has difficulty making decisions and will not undertake anything new without first consulting her mother. They talk on the phone almost every day. Ginger has recently started having anxiety attacks. She consults the nurse practitioner in the student health center. This type of crisis is called:
- A. Crisis resulting from traumatic stress
- B. Dispositional crisis
- C. Psychiatric emergency
- D. Maturational/developmental crisis
Correct Answer: D
Rationale: The correct answer is D: Maturational/developmental crisis. This type of crisis occurs during life transitions or developmental stages, such as leaving home for the first time to attend college. Ginger's anxiety attacks are likely due to the stress and adjustment challenges associated with this significant life change. She is experiencing difficulties in decision-making and seeking constant reassurance from her mother, which are common behaviors during maturational crises.
Explanation:
1. A: Crisis resulting from traumatic stress does not apply as Ginger's anxiety is not triggered by a specific traumatic event.
2. B: Dispositional crisis is not the correct choice as this crisis is not related to her inherent personality traits but rather to the developmental stage she is going through.
3. C: Psychiatric emergency does not fit as Ginger's situation does not present an immediate threat to her safety or require urgent psychiatric intervention.
In summary, the correct choice is D as Ginger's symptoms align with a maturational/developmental crisis associated
he psychoanalytical perspective was profounded by
- A. Erik Erikson
- B. Sigmund Freud
- C. Jean Piaget
- D. Lev Vygotsky
Correct Answer: B
Rationale: Sigmund Freud founded psychoanalysis, focusing on unconscious drives and early experiences.