Nokea
Ethnic minorities are often victims of stigmatization regarding their mental illnesses. The nurse initially addresses this potential problem by:
- A. Informing a client of his civil rights.
- B. Educating a client as to various available counseling services.
- C. Discussing with the client how family and friends are reacting to his illness.
- D. Helping the client develop the confidence to stand up for himself.
Correct Answer: C
Rationale: The correct answer is C because discussing how family and friends are reacting to the client's illness helps identify potential sources of stigma and provides insight into the client's support system. This allows the nurse to address specific issues and provide appropriate interventions. Option A is incorrect as civil rights may not directly address stigma. Option B focuses on counseling services but doesn't directly address stigma. Option D addresses confidence but may not directly tackle the issue of stigma faced by ethnic minorities.
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How many things in common nearly all good days:
- A. Two
- B. Three
- C. Four
- D. Five
Correct Answer: B
Rationale: Lyubomirsky suggests 3 common elements (e.g., positivity, connection, achievement) for good days.
How many drops per minute would you administer when the doctor's order states that the client should receive 1 liter of fluid over 8 hours and the intravenous set delivers 20 gtts per cc?
- A. 31 gtts
- B. 42 gtts
- C. 48 gtts
- D. 51 gtts
Correct Answer: A
Rationale: 1 L = 1000 mL; 1000 mL / 8 hr = 125 mL/hr; 125 mL x 20 gtts/mL / 60 min = 31.25 gtts/min, rounded to 31 (A).
The theorist who believes in social constructivism is
- A. Sigmund Freud
- B. Carl Rogers
- C. Lev Vygotsky
- D. Erik Erikson
Correct Answer: C
Rationale: Lev Vygotsky's social constructivism emphasizes learning through social interaction.
The psychosexual stage associated with toilet training is
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: B
Rationale: The anal stage (1-3 years, Freud) involves control over bodily functions.
When asked if complementary and alternative medicine (CAM) therapies have value as nursing interventions for mentally ill individuals the nurse replies:
- A. If the client is interested in CAM therapies, as a nurse I need to support that interest.'
- B. CAM therapies are controversial; as a nurse I think their use should be discussed with the physician first.'
- C. Some of these therapies have been proven to have a positive impact on a variety of mental health conditions; to provide effective care for my clients I need to be aware and open to their appropriate use.'
- D. These nontraditional therapies seem to work for some people; as a nurse, I need to educate my clients as to their limitations.'
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct:
1. Choice C acknowledges that some CAM therapies have been proven to have a positive impact on mental health conditions.
2. As a nurse, being aware and open to the appropriate use of these therapies can enhance the quality of care provided to mentally ill individuals.
3. By embracing evidence-based practices, the nurse can integrate effective CAM therapies into the treatment plan.
4. It demonstrates a patient-centered approach by considering the potential benefits of CAM therapies for individual clients.
5. This response aligns with the principles of holistic nursing care and evidence-based practice in mental health.
Summary:
Choice A focuses solely on the client's interest without considering evidence-based practice. Choice B emphasizes the controversial nature of CAM without recognizing its potential benefits. Choice D implies a lack of confidence in CAM therapies without acknowledging their proven efficacy. Choice C stands out for its evidence-based approach and patient-centered care in considering the positive impact of CAM therapies on mental health conditions.