Counseling is done as part of the work of the teacher
- A. Non-specialist
- B. Informal
- C. Professional
- D. Specialized
Correct Answer: A
Rationale: Teachers offer non-specialist counseling within their role.
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How might the perspectives of financially secure patients with respect to end-of-life care differ from those of disadvantaged patients?
- A. Financially secure patients are more likely to insist that everything be done to keep them alive
- B. Disadvantaged patients may interpret end-of-life care as an attempt to deny essential treatments
- C. Disadvantaged patients are more likely to want to spend their last days outside the hospital
- D. Financially secure patients are more likely to demand placement in assisted living facilities to avoid burdening their families
Correct Answer: B
Rationale: Disadvantaged patients may distrust end-of-life care due to historical inequities, perceiving it as withheld treatment.
What is the role of the physician when the patient lacks decisionmaking capacity and someone other than a family member has been designated as the surrogate decision maker?
- A. Follow the instructions of the family and ignore the surrogate
- B. Ignore the family and talk only to the surrogate
- C. Serve as a mediator between parties and encourage all groups to work together in the best interest of the patient, consistent with the patient's wishes
- D. Consult legal affairs to determine who should be the decisionmaker
Correct Answer: C
Rationale: Mediation ensures collaboration and honors the patient's designated surrogate.
Which statement by the nurse will have the greatest impact on medication adherence for a client diagnosed with depression?
- A. I can see about getting your medication for free if you promise to take it.'
- B. You will feel so much better if you take your medication as we've discussed.'
- C. Taking this medication will help you start enjoying the time you spend with your grandchildren again.'
- D. Take your medication and the depression you are feeling will go away and you'll be your old self again.'
Correct Answer: C
Rationale: The correct answer is C because it emphasizes a positive outcome that is personally meaningful to the client - enjoying time with grandchildren. This statement motivates the client by linking medication adherence to a specific benefit that holds significance for them. Option A involves a conditional offer which may not address the client's underlying motivation. Option B focuses on general improvement without personalizing it, and Option D oversimplifies the complexity of depression recovery. In summary, Option C is the most effective as it connects medication adherence to a specific and meaningful goal for the client.
Complementary and alternative medicine (CAM) therapies have been growing in popularity and surveys show that they are being used to treat several mental health conditions. With these statistics in mind the nurse is careful to assess which client for the possible use of CAM therapies?
- A. The teenager who is dealing with sexual identity issues
- B. The older adult who has developed early onset dementia
- C. The young adult who is experiencing chronic pain as a result of a knee injury
- D. The middle-aged adult who is experiencing depression after the death of a parent
Correct Answer: D
Rationale: Rationale: The correct answer is D. The nurse should assess the middle-aged adult experiencing depression after the death of a parent for possible use of CAM therapies because depression is a common mental health condition that CAM therapies can help alleviate. The client's emotional distress and grief may benefit from holistic approaches like mindfulness meditation or acupuncture. It is important to address mental health conditions with appropriate interventions, and CAM therapies can be a valuable supplement to traditional treatments.
Summary:
A: While sexual identity issues are important, they do not necessarily indicate a need for CAM therapies in this context.
B: Early onset dementia is a neurological condition, and CAM therapies may not be the primary focus for treatment.
C: Chronic pain from a knee injury may require more conventional medical interventions before exploring CAM therapies for pain management.
The nurse best assures that a psychiatric client's rights are respected and preserved by:
- A. Educating each client as to his or her legally protected rights.
- B. Being knowledgeable of the state laws that regulate client rights.
- C. Participating as a member of the client's multidisciplinary health care team.
- D. Referring all issues of a legal nature to the appropriate facility committee.
Correct Answer: B
Rationale: The correct answer is B because being knowledgeable of state laws regulating client rights enables the nurse to advocate effectively. By understanding the legal framework, the nurse can ensure the client's rights are upheld. Choice A may not cover all legal aspects, choice C focuses on healthcare teamwork, and choice D may delay addressing legal issues promptly. Being well-versed in state laws is crucial for protecting client rights.