Bureau of Labor Statistics has projected that the field will grow by by the year 2022:
- A. 20%
- B. 30%
- C. 40%
- D. 50%
Correct Answer: A
Rationale: BLS projected a 20% growth in rehab counseling by 2022, reflecting demand for disability support.
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An 11-year-old says, My parents dont like me. They call me stupid and say they wish I were never born. It doesn't matter what they think because I already know Im dumb. Which nursing diagnosis applies to this child?
- A. Chronic low self-esteem related to negative feedback from parents
- B. Deficient knowledge related to interpersonal skills with parents
- C. Disturbed personal identity related to negative self-evaluation
- D. Complicated grieving related to poor academic performance
Correct Answer: A
Rationale: The child has indicated a belief in being too dumb to learn. The child receives negative and demeaning feedback from the parents. The child has internalized these messages, resulting in a low self-esteem. Deficient knowledge refers to knowledge of health care measures. Disturbed personal identity refers to an alteration in the ability to distinguish between self and non-self. Grieving may apply, but a specific loss is not evident in the scenario. Low self-esteem is more relevant to the childs statements.
About mental illness, which of the following statements is CORRECT?
- A. There is a growing need to ensure institutional care for more effective management.
- B. Rehabilitation and reintegration with community improves clinical outcome.
- C. GP clinics often pose a stigma to the patients.
- D. The focus is on the specialist care and not patient choice.
Correct Answer: B
Rationale: Evidence supports that rehabilitation and community reintegration improve outcomes for mental illness patients.
The psychosexual stage associated with dependency is
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: A
Rationale: The oral stage (birth-1 year, Freud) involves dependency on caregivers.
A parent became unemployed 6 months ago. The parent has subsequently been verbally abusive toward the spouse and oldest child. The child ran away twice, and the spouse has become depressed. What is the most appropriate nursing diagnosis for this family?
- A. Impaired parenting related to verbal abuse of oldest child
- B. Impaired social interaction related to disruption of family bonds
- C. Ineffective community coping related to fears about economic stability
- D. Disabled family coping related to insecurity secondary to loss of family income
Correct Answer: D
Rationale: Disabled family coping refers to the behavior of a significant family member that disables his or her own capacity as well as anothers capacity to perform tasks essential to adaptation. The distracters are inaccurate because the stressors influence more than one individual.
The Montessori approach believes children learn through
- A. Observation
- B. Instruction
- C. Repetition
- D. Testing
Correct Answer: A
Rationale: Montessori emphasizes learning via observation and exploration.