Nokea
For the giver spending on other people results in greater happiness:
- A. Time
- B. Feelings
- C. Emotions
- D. Money
Correct Answer: D
Rationale: Prosocial spending (money on others) increases happiness, per Dunn et al. (2008).
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An adult diagnosed with schizophrenia lives with elderly parents. The patient was recently hospitalized with acute psychosis. One parent is very anxious, and the other is ill because of the stress. Which nursing diagnosis is most applicable to this scenario?
- A. Ineffective family coping related to parental role conflict
- B. Caregiver role strain related to the stress of chronic illness
- C. Impaired parenting related to patients repeated hospitalizations
- D. Interrupted family processes related to relapse of acute psychosis
Correct Answer: B
Rationale: Caregiver role strain refers to a caregivers felt or exhibited difficulty in performing a family caregiver role. In this case, one parent exhibits stress-related illness and the other exhibits increased anxiety. The other nursing diagnoses are not substantiated by the information given and are incorrectly formatted [one nursing diagnosis should not be the etiology for another].
When treating a patient who cannot speak English, what is the primary advantage of using a professional medical interpreter instead of family members?
- A. Professional interpreters always have more medical knowledge than family members
- B. Professional interpreters can calm emotionally distressed patients
- C. Professional interpreters can offer direct interpretation of the patient's responses
- D. Professional interpreters always have a better command of the English language
Correct Answer: C
Rationale: Direct interpretation ensures accuracy and avoids family bias or omission.
Legal prohibitions against sharing passwords are legally based on:
- A. The Security Rule
- B. The American Nurses Association's Code of Ethics
- C. The American Hospital's Patients' Bill of Rights
- D. The Autonomy Rule
Correct Answer: A
Rationale: The Security Rule addresses password protection under HIPAA.
When is it acceptable for an adult patient to withhold potentially life-threatening diagnosis from his/her family?
- A. By law, the patient may make personal health decisions without telling others
- B. It is never acceptable to withhold personal health information from family
- C. Only if the patient is free of psychological disorders
- D. Only if the patient's health insurance is not being paid for by his/her family
Correct Answer: A
Rationale: Patient autonomy under HIPAA allows withholding information legally.
An adult tells the nurse, My partner abuses me when I make mistakes, but I always get an apology and a gift afterward. Ive considered leaving but havent been able to bring myself to actually do it. Which phase in the cycle of violence prevents this adult from leaving?
- A. Tension-building
- B. Acute battering
- C. Honeymoon
- D. Stabilization
Correct Answer: C
Rationale: The honeymoon stage is characterized by kind, loving behaviors toward the abused spouse when the perpetrator feels remorseful. The victim believes the promises and drops plans to leave or seek legal help. The tension-building stage is characterized by minor violence in the form of abusive verbalization or pushing. The acute battering stage involves the abuser beating the victim. The violence cycle does not include a stabilization stage.