Nokea
An Arab student new to an elementary school reports, 'I just don't want to go to gym class.' Which factor would be of primary concern for a school nurse?
- A. The student's family's cultural beliefs regarding females interacting with males in public
- B. Complaints from others of 'bullying' that occurs in gym class
- C. The student's problems adjusting to the new school environment
- D. A teacher's concern that the gym class is overcrowded
Correct Answer: B
Rationale: The correct answer is B because the primary concern for the school nurse would be addressing any potential bullying the Arab student is experiencing in gym class. This is important for the student's well-being and mental health. Choice A is not the primary concern as it does not directly address the student's reluctance to attend gym class. Choice C focuses on general adjustment issues, while choice D pertains to a logistical issue rather than the student's emotional or social well-being. Addressing bullying is crucial to creating a safe and inclusive environment for the student.
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While performing an assessment, the nurse says to a patient, 'While growing up, most of us heard some half-truths about sexual matters that continue to puzzle us as adults. Do any come to your mind now?' The purpose of this question is to
- A. identify areas of sexual dysfunction for treatment.
- B. determine possible homosexual urges.
- C. introduce the topic of masturbation.
- D. identify sexual misinformation.
Correct Answer: D
Rationale: The correct answer is D: identify sexual misinformation. The nurse's question aims to uncover any misconceptions or false information the patient may have received about sexual matters in the past. By identifying these misinformation, the nurse can address and correct them to promote the patient's sexual health and well-being.
Explanation:
1. The nurse's question specifically targets the patient's recollection of "half-truths about sexual matters," indicating a focus on misinformation.
2. By asking the patient if any of these half-truths still puzzle them as adults, the nurse seeks to identify areas where the patient may have received incorrect information.
3. Addressing sexual misinformation is crucial for promoting accurate knowledge, healthy attitudes, and behaviors related to sexuality.
Summary:
A: Incorrect. The question does not directly aim to identify areas of sexual dysfunction for treatment.
B: Incorrect. The question does not target determining possible homosexual urges but rather focuses on uncovering sexual misinformation.
C: Incorrect. The question does not introduce the
The nurse in the emergency department tells the daughter of a patient that her 86-year-old mother has had a stroke. The daughter tearfully asks the nurse, 'Who will take care of me now?' When the nurse explores this query, the daughter mentions that her mother always tells her what job to take, what clothes to buy and wear, and what to have for lunch. The daughter states that she needs someone to direct her and reassure her when she gets anxious. With which personality disorder is this presentation most consistent?
- A. Histrionic
- B. Dependent
- C. Narcissistic
- D. Borderline
Correct Answer: B
Rationale: The correct answer is B: Dependent. This presentation is most consistent with dependent personality disorder because the daughter is displaying excessive need for someone to take care of her and make decisions for her, as well as seeking reassurance and guidance when anxious. Individuals with dependent personality disorder often lack self-confidence and rely heavily on others for emotional and physical needs.
Choice A: Histrionic personality disorder is characterized by attention-seeking behavior and excessive emotions, which do not match the daughter's presentation.
Choice C: Narcissistic personality disorder involves a grandiose sense of self-importance and a lack of empathy for others, which is not evident in the daughter's behavior.
Choice D: Borderline personality disorder is characterized by unstable relationships, self-image, and emotions, as well as impulsive behaviors, which are not reflected in the daughter's need for constant direction and reassurance.
Many individuals with intellectual disabilities are conscientious and valued workers employed in which of the normal work environments. Individuals with more specific needs may need to pursue employment within:
- A. Sheltered accommodation
- B. Special workshops
- C. Sheltered workshops
- D. Special accommodation
Correct Answer: C
Rationale: Sheltered Workshops: Employment settings tailored to the needs and abilities of individuals with intellectual disabilities.
Which behaviors would indicate the need for further assessment to consider avoidant personality disorder?
- A. Withholding of feelings and low self-esteem
- B. Insistence on others conforming to own methods
- C. Engaging in impulsive acts like unsafe sex
- D. Initial charm dissolving into coldness and blaming others
Correct Answer: A
Rationale: Step 1: Withholding of feelings is a key feature of avoidant personality disorder, indicating difficulty in expressing emotions.
Step 2: Low self-esteem is also characteristic, as individuals with this disorder often feel inadequate and inferior.
Step 3: Insistence on others conforming to own methods (B) is more indicative of narcissistic personality disorder.
Step 4: Engaging in impulsive acts like unsafe sex (C) is more aligned with borderline personality disorder.
Step 5: Initial charm dissolving into coldness and blaming others (D) is a trait of antisocial personality disorder.
A client who has been diagnosed as having bulimia nervosa is hospitalized for treatment of electrolyte imbalance. Just before lunch is finished, the client leaves the table and walks quickly in the direction of the bathroom. The nurse should say:
- A. No one is allowed to leave the dining room during meals.'
- B. I must accompany you when you go to the bathroom.'
- C. I think I understand your plan, and I cannot permit you to carry it out.'
- D. Wouldn't it be preferable to exercise rather than vomit?'
Correct Answer: B
Rationale: The correct answer is B because accompanying the client to the bathroom is essential to prevent purging behavior associated with bulimia nervosa. By doing so, the nurse can provide support, monitor the client, and intervene if necessary to ensure the client's safety. Choice A is incorrect as it may come across as punitive and restrictive. Choice C is incorrect as it may escalate the situation and lead to confrontation. Choice D is incorrect as it suggests an alternative behavior without addressing the immediate concern of potential purging. Accompanying the client to the bathroom is the most appropriate and therapeutic response in this situation.