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By age 3, the brain has reached almost
- A. 65
- B. 75
- C. 55
- D. 85
Correct Answer: B
Rationale: By age 3, the brain is approximately 75-80% of adult size, per neuroscience.
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Which comment by a mother during a family therapy session shows evidence of scapegoating?
- A. Our youngest child always starts arguments and upsets everyone else.
- B. We all express our feelings openly except when we think it might upset my husband.
- C. Our oldest child knows that my husband and I are doing all we can for the others.
- D. After my husband has been drinking, I have to get everyone up and ready for school.
Correct Answer: A
Rationale: Scapegoating is blaming family problems on a member of the family who is not very powerful. The purpose of the blaming is to keep the focus off painful issues and off the blamers themselves. A double-bind message, such as We all express our feelings openly except when, involves giving instructions that are inherently contradictory or that place the person in a no-win situation. Our oldest child knows that is an example oftriangulation, wherein a third party is engaged to help stabilize an unstable pair within the family. A child assuming parental responsibilities (e.g., caring for siblings) because a parent fails to do so is an example of enabling.
Select the complication of intravenous therapy that is accurately paired with one of its interventions.
- A. Infection: Lowering the limb to promote circulation
- B. Infiltration: The application of cold to the site
- C. Extravasation: The aspiration of contents including blood from the IV cannula
- D. Hematoma: The administration of dexrazonxane
Correct Answer: C
Rationale: Extravasation (C) involves aspirating contents to mitigate damage.
The theorist associated with self-actualization is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: C
Rationale: Abraham Maslow's hierarchy culminates in self-actualization.
Shortly after a mans wife dies, the man approaches the nurse who cared for his wife during her final hours of life and says angrily, If you had given your undivided attention, she would still be alive. Which analysis applies?
- A. The comment summarizes the nurses inadequacies.
- B. Anger is a phenomenon experienced during grieving.
- C. The patient had ambivalent feelings about his spouse.
- D. In some cultures, grief is expressed solely through anger.
Correct Answer: B
Rationale: Anger may protect the bereaved from facing the devastating reality of the loss. Anger expressed during mourning is not directed toward the nurse, personally, although accusations and blame may make him or her feel as though it is.
Which of the following choices is an effective complement to motivational interviewing?
- A. Using confidence and importance rating scales
- B. Arranging group motivational meetings with other patients
- C. Referring patients to a social worker
- D. Spending time to recall personal experience
Correct Answer: A
Rationale: Rating scales assess readiness and motivation, enhancing interviewing effectiveness.