Nokea
An older adult with Alzheimers disease lives with family in a rural area. During the week, the person attends a day care center while the family is at work. In the evenings, members of the family provide care. Which factor makes this patient most vulnerable to abuse?
- A. Multiple caregivers
- B. Alzheimers disease
- C. Living in a rural area
- D. Being part of a busy family
Correct Answer: B
Rationale: Older adults are at high risk for violence, particularly those with cognitive impairments. The other characteristics are not identified as placing an individual at high risk.
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Which of the following choices correctly groups the three components that determine sexual orientation?
- A. Attraction, self-esteem, and ego
- B. Attraction, cognition, and behavior
- C. Cognition, behavior, and ego
- D. Cognition, self-esteem, and behavior
Correct Answer: B
Rationale: Attraction, cognition, and behavior define sexual orientation comprehensively.
The initial step in providing effective mental health-focused public health services is:
- A. Securing adequate funding to support needed psychiatric services.
- B. Identifying key providers to assure the delivery of required services.
- C. Surveying the targeted community to identify needs of the high-risk groups.
- D. Recruiting community leaders to provide support for utilization of provided services.
Correct Answer: C
Rationale: The correct answer is C because surveying the targeted community helps identify specific mental health needs and high-risk groups. This information is crucial for tailoring services effectively. Securing funding (A) is important but comes after understanding community needs. Identifying key providers (B) is necessary but should follow community assessment. Recruiting leaders (D) is helpful but not as essential as understanding community needs. In summary, option C is correct as it lays the foundation for designing appropriate mental health services.
When advising an Asian Indian patient to reduce his/her risk for coronary heart disease, which of the following dietary changes would be the most effective?
- A. Recommend healthy substitutions for ingredients typically found in traditional food
- B. Avoid curry, a common Indian spice
- C. Recommend the addition of lean beef
- D. Replace herbs in the patient's diet with salt
Correct Answer: A
Rationale: Substitutions maintain cultural relevance while improving heart health.
When it is suggested that a stress management therapy group have its membership limited to 15 participants, the nurse manager responds:
- A. That is really too many people; enroll only the first 7 who demonstrate a genuine interest in attending.'
- B. OK, but stop enrollment at 15; chances are excellent that not everyone who signed up will end up attending.'
- C. Well, 15 is a lot but it is manageable if the individuals include spouses, family members, siblings, or even long-term partners.'
- D. The maximum number that supports therapeutic work is 10; we can create two separate groups if we have that much interest in the service.'
Correct Answer: D
Rationale: The correct answer is D because it addresses the need for effective therapeutic work. By stating that the maximum number supporting therapeutic work is 10, it indicates an understanding of group dynamics and ensures each member receives adequate attention and participation in the group process. Creating two separate groups if there is more interest demonstrates flexibility while maintaining the quality of the therapy sessions.
A: This answer limits enrollment based on interest, which may not necessarily correlate with the effectiveness of the therapy group.
B: This answer assumes that not everyone who signs up will attend, which does not address the issue of group dynamics and therapeutic effectiveness.
C: This answer suggests including additional individuals beyond the 15 limit, which could lead to overcrowding and hinder the therapeutic process.
Freud defines the ego as:
- A. Helping to determine what is right and what is wrong.
- B. Being concerned with self-gratification.
- C. Focusing on reality.
- D. The part where a person is only concerned with ones individual needs.
Correct Answer: C
Rationale: The ego is responsible for meeting and interacting with the outside world. The id is balanced by the ego.