Nokea
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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The theorist associated with social learning theory is
- A. Sigmund Freud
- B. B.F. Skinner
- C. Albert Bandura
- D. Ivan Pavlov
Correct Answer: C
Rationale: Bandura's social learning theory emphasizes observation.
Which of the following correctly identifies the role of the physician and the patient in making health care decisions?
- A. The physician is the ultimate authority in making decisions about a patient's health
- B. The physician and the patient must establish together who makes decisions about the patient's health
- C. The physician has little direct influence on the patient's personal health choices
- D. Although it is the physician's responsibility to instruct the patient about his or her condition, the physician must ultimately respect the patient's personal health choices
Correct Answer: D
Rationale: Shared decision-making balances physician expertise with patient autonomy.
It is the judgment of personal performance compared with the self-ideal:
- A. Self-concept
- B. Self-identity
- C. Self-assessment
- D. Self-esteem
Correct Answer: D
Rationale: Self-esteem is the comparison between actual performance and ideal self, per Rogers.
Which nursing diagnosis would likely apply to both patients with paranoid schizophrenia and patients with amphetamine-induced psychosis?
- A. Powerlessness
- B. Disturbed thought processes
- C. Ineffective thermoregulation
- D. Impaired oral mucous membrane
Correct Answer: B
Rationale: The correct answer is B: Disturbed thought processes. Both patients with paranoid schizophrenia and amphetamine-induced psychosis commonly experience altered thinking patterns, hallucinations, and delusions. This nursing diagnosis addresses the cognitive disruptions present in both conditions.
Incorrect choices:
A: Powerlessness - This diagnosis refers to a lack of control over one's life situation, which may not be a primary concern for these patients.
C: Ineffective thermoregulation - This diagnosis relates to the body's ability to maintain temperature, which is not typically affected in these conditions.
D: Impaired oral mucous membrane - This diagnosis is related to issues with the mouth's lining and is not typically associated with paranoid schizophrenia or amphetamine-induced psychosis.
The current focus of performance improvement activities is to facilitate and address:
- A. Sound structures like policies and procedures
- B. Processes and how they are being done
- C. Optimal client outcomes
- D. Optimal staff performance
Correct Answer: C
Rationale: Performance improvement primarily aims at enhancing client outcomes.