Nokea
Emphasize that the battering pattern usually remains the same in frequency and severity.
- A. By emphasizing that the battering pattern usually remains the same in frequency, it indicates a consistent and recurring nature of the behavior in question.
- B. The battering pattern may change over time.
- C. The battering pattern is unpredictable.
- D. None of the above.
Correct Answer: A
Rationale: The correct answer is A because emphasizing that the battering pattern usually remains the same in frequency highlights the consistent and recurring nature of the behavior. This implies that the pattern is predictable and stable. Choice B is incorrect because it contradicts the idea of consistency in the battering pattern. Choice C is incorrect because it suggests unpredictability, which goes against the notion of the pattern remaining the same. Choice D is incorrect because option A aligns with the concept of the battering pattern being consistent in frequency and severity.
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The nurse at the clinic is interviewing a patient who offers a number of vague somatic complaints that might not ordinarily prompt a visit to a caregiver: fatigue, back pain, and seems tense. After having spoken of the symptoms, the nurse can best serve the patient by:
- A. Asking if the patient has ever had psychiatric counseling.
- B. Completing a structured abuse assessment protocol.
- C. Suggesting the patient take a break from work.
- D. None of the above.
Correct Answer: B
Rationale: The correct answer is B: Completing a structured abuse assessment protocol. In this scenario, the patient presents with vague somatic complaints that could potentially be indicative of underlying abuse. By completing an abuse assessment protocol, the nurse can uncover any possible abuse the patient may be experiencing, which could be the root cause of their symptoms. This approach is crucial in ensuring the patient's safety and well-being.
Choice A is incorrect because assuming the symptoms are solely related to psychiatric issues without exploring other potential causes can lead to overlooking important factors. Choice C is incorrect as suggesting a break from work may not address the underlying issue and could potentially worsen the patient's situation. Choice D is incorrect as taking no action could result in the patient's condition worsening without proper intervention.
Which environmental factor most hinders mental development?
- A. Lack of sleep
- B. Poor nutrition
- C. Excessive screen time
- D. Noisy surroundings
Correct Answer: B
Rationale: Poor nutrition (B) most hinders mental development by limiting brain growth and function. Sleep (A), screen time (C), and noise (D) impact development, but nutrition is foundational.
In DSM-IV-TR intellectual disabilities are divided into a number of degrees of severity, depending primarily on the range of IQ score provided by the sufferer. One of these is Profound Mental Retardation, represented by an IQ score below:
- A. 20-25
- B. 25-30
- C. 15-20
- D. 15-Oct
Correct Answer: A
Rationale: Profound Mental Retardation: Defined by DSM-IV-TR as an IQ score below 20-25.
DSM stands for
- A. diagnostic schedule of medicine
- B. diagnostic and statistical manual
- C. depressive scale modalities
- D. doctor of surgical medicine
Correct Answer: B
Rationale: DSM refers to the Diagnostic and Statistical Manual of Mental Disorders, a key classification tool.
The nurse notes that a male client, who is taking an antipsychotic medication, is constantly moving from chair to chair during a group activity, and he complains that he feels 'nervous and jittery inside.' The nurse is aware that this client most likely is experiencing:
- A. Akinesia
- B. Dystonia
- C. Dyskinesia
- D. Akathisia
Correct Answer: D
Rationale: The correct answer is D: Akathisia. Akathisia is a common side effect of antipsychotic medications characterized by an inner feeling of restlessness and an inability to sit still. In this case, the client's constant movement and complaints of feeling 'nervous and jittery inside' align with the symptoms of akathisia.
A: Akinesia refers to a lack of movement or muscle weakness, which is not consistent with the client's presentation.
B: Dystonia is a movement disorder characterized by involuntary muscle contractions, typically presenting as sustained muscle contractions or abnormal postures.
C: Dyskinesia refers to abnormal, involuntary movements, which are not reflective of the client's symptoms in this scenario.
In summary, the client's symptoms of restlessness and inability to sit still indicate that he is likely experiencing akathisia, making option D the correct choice.