Nokea
Describe some of the environmental factors affecting families.
- A. Poverty, housing, community violence
- B. Personal beliefs, moral values
- C. Individual talents, personal goals
- D. Therapist biases, session frequency
Correct Answer: A
Rationale: Environmental factors like poverty and violence directly impact family functioning.
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The Joint Commission on the Accreditation of Healthcare Organizations mandates standardized “hand of†change of shift reporting. Which of the following is a standardized “hand off†change of shift reporting system that you may want to consider for implementation on your nursing care unit?
- A. The Four P's
- B. UBAR
- C. ISBAR
- D. MAUMAR
Correct Answer: C
Rationale: ISBAR is a widely recognized handoff communication tool.
A health care worker is exposed to blood from a patient who has HIV. What action should the worker take after the exposure?
- A. Apply alcohol to the site.
- B. Cleanse the site with soap and water.
- C. Flush the site with hot running water.
- D. Apply a topical antibiotic to the site.
Correct Answer: B
Rationale: The correct answer is B: Cleanse the site with soap and water. This is because soap and water effectively clean and disinfect the wound, reducing the risk of infection. Alcohol may not be as effective in removing bloodborne pathogens like HIV. Flushing with hot water can cause tissue damage and is not recommended. Applying a topical antibiotic is not necessary for blood exposure and may not prevent HIV transmission. Proper cleansing with soap and water is crucial to minimize the risk of infection following exposure to bloodborne pathogens like HIV.
Women from which of the following groups are least likely to perceive themselves as overweight?
- A. African American
- B. Caucasian
- C. Asian
- D. Native American
Correct Answer: A
Rationale: Studies show African American women are less likely to perceive themselves as overweight compared to other groups due to cultural differences in body image perception.
Select the most appropriate outcome for a patient completing the fourth alcohol detoxification program in 1 year. Before discharge, the patient will
- A. use rationalization in healthy ways.
- B. state, 'I see the need for ongoing treatment.'
- C. identify constructive outlets for expression of anger.
- D. develop a trusting relationship with one staff member.
Correct Answer: B
Rationale: The correct answer is B because stating 'I see the need for ongoing treatment' demonstrates insight and willingness to engage in further treatment, indicating a readiness for change. This is crucial for someone who has completed multiple detox programs in a short period. Choice A (using rationalization in healthy ways) may not address the underlying issues leading to repeated detox programs. Choice C (identifying constructive outlets for expression of anger) is important but not the most urgent concern after detox. Choice D (developing a trusting relationship with one staff member) is beneficial but does not address the need for ongoing treatment.
Your client in crisis is detaching from self. Which psychological ego defense mechanism is this client most likely using?
- A. Displacement
- B. Sublimation
- C. Dissociation
- D. Reaction formation
Correct Answer: C
Rationale: Dissociation (C) involves detaching from self in crisis.