Nokea
Common Level 2 issues typically include...
- A. Triangles, alliances and boundaries
- B. Marital conflict, alcoholism, or gambling
- C. Inner conflicts, problems with intimacy
- D. Executive capacity issues
Correct Answer: B
Rationale: Level 2 families typically struggle with relational dynamics such as marital conflict or substance abuse, which disrupt family functioning beyond basic survival needs.
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Which nurse-focused action demonstrates an understanding of the importance of value clarification to the therapeutic relationship between nurse and client?
- A. Intently listening while the client describes physical abuse she was exposed to as a child
- B. Offering to arrange for the hospital chaplain to visit a client who is severely depressed
- C. Asking a client to explain his or her cultural beliefs regarding the role of women
- D. Encouraging the client to read a newspaper article that debates various political issues
Correct Answer: C
Rationale: The correct answer is C because asking a client to explain his or her cultural beliefs regarding the role of women demonstrates an understanding of the importance of value clarification. By exploring the client's cultural beliefs, the nurse shows respect for the client's values and perspectives, which is essential for building a therapeutic relationship. This action also promotes cultural competence and helps the nurse understand the client's worldview.
Choice A is incorrect because although intently listening is important, it does not specifically address value clarification. Choice B is incorrect because arranging for the chaplain's visit may be helpful but does not directly relate to value clarification. Choice D is incorrect as encouraging the client to read a newspaper article on political issues does not necessarily focus on the client's values or beliefs.
Which assessment findings support a nurse’s suspicion that a patient has been using inhalants?
- A. Perforated nasal septum and hypertension
- B. Drowsiness, euphoria, and constipation
- C. Pinpoint pupils and respiratory rate of 12 breaths per minute
- D. Confusion, mouth ulcers, and ataxia
Correct Answer: D
Rationale: The correct answer is D because confusion, mouth ulcers, and ataxia are common assessment findings in individuals who have been using inhalants. Confusion and ataxia are neurological symptoms associated with inhalant use, while mouth ulcers can result from the toxic effects of inhalants on oral mucosa. These findings indicate central nervous system depression and potential damage from inhalant exposure.
Choices A, B, and C are incorrect because they do not align with typical assessment findings of inhalant use. Perforated nasal septum and hypertension (A) are more commonly associated with chronic cocaine use. Drowsiness, euphoria, and constipation (B) are symptoms of opioid use. Pinpoint pupils and respiratory rate of 12 breaths per minute (C) are indicative of opioid overdose, not inhalant use.
):ndered messages are most likely to be found
- A. In the media
- B. In government sponsored programs
- C. Among peers
- D. In toy stores
Correct Answer: A
Rationale: The media is a primary source of gendered messages, shaping perceptions from an early age.
Septo-Optic Dysplasia is a disorder of early brain development occurs in ----in10,000 newborns:
- A. 1
- B. 2
- C. 3
- D. 4
Correct Answer: A
Rationale: Septo-optic dysplasia affects 1 in 10,000 newborns, a rare congenital condition.
Using the structural approach with a family in therapy, the therapist would:
- A. Try to change family principles that may be promoting dysfunctional behavior patterns.
- B. Strive to create change in destructive behavior through improvement in communications and interaction patterns.
- C. Encourage increase in the differentiation of individual family members.
- D. Promote change in dysfunctional behavior by encouraging the formation of more diffuse boundaries between family members.
Correct Answer: B
Rationale: The correct answer is B because the structural approach in family therapy focuses on improving communication and interaction patterns to create positive change in destructive behavior. This involves restructuring the family dynamics and roles to address underlying issues. Choice A is incorrect because changing family principles may not directly address specific behaviors. Choice C is incorrect as increasing differentiation alone may not target destructive behaviors. Choice D is incorrect as promoting diffuse boundaries can lead to further dysfunction rather than positive change.