Frank is a Latino American who has an appointment at the community health center for 1:00 p.m. The nurse is angry when Frank shows up at 3:30 p.m. stating, 'I was visiting with my brother.' How must the nurse interpret this behavior?
- A. Frank is being passive-aggressive by showing up late.
- B. This is Frank's way of defying authority.
- C. Frank is a member of a cultural group that is present-time oriented.
- D. Frank is a member of a cultural group that rejects traditional medicine.
Correct Answer: C
Rationale: Frank's lateness, explained by visiting his brother, reflects a cultural orientation common in some Latino communities where present-time social interactions may take priority over strict punctuality, aligning with option c.
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A person whose spouse died two years earlier tells friends, I think I'll start going out socially, maybe even take someone to dinner. This comment best demonstrates that the individual is:
- A. denying the significance of the loss.
- B. in a period of resolution of grief.
- C. actively working through grief.
- D. experiencing intrusion.
Correct Answer: B
Rationale: Toward the end of the grief process, the person renews his or her interest in people and activities. This behavior indicates resolution. At the same time, the person is released from the relationship with the deceased. The patient has progressed beyond grief. The patient is seeking to move into new relationships so that he or she is not alone.
You will be administering packed red blood cells to your client. Which of the following principles should you apply to this blood administration?
- A. You must insure that the client has a patent intravenous catheter that is at least 20 gauge.
- B. You will need the help of another nurse prior to the administration of these packed red blood cells.
- C. The unit of packed red blood cells should start no more than 1 hour after it is picked up.
- D. You must remain with the client and monitor the client for at least 30 minutes after the transfusion begins.
Correct Answer: C
Rationale: Blood must be started within 1 hour (C) to prevent spoilage.
A parent says, My son and I argue constantly since he started using drugs. When I talk to him about not using drugs, he tells me to stay out of his business. What is the nurses first most appropriate action?
- A. Educate the parent about stages of family development.
- B. Report the son to law enforcement authorities.
- C. Refer the son for substance abuse treatment.
- D. Make a referral for family therapy.
Correct Answer: D
Rationale: Family therapy is indicated, and the nurse should provide a referral. Reporting the child to law enforcement would undermine trust and violate confidentiality. The other distracters may occur later.
Aponte says all SFT therapists' actions should flow from structural and functional hypotheses.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Aponte emphasizes hypotheses as the basis for targeted interventions in SFT.
he theorist who believes that human have intrinsic motivation is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: C
Rationale: Abraham Maslow's theory includes intrinsic motivation as part of the drive toward self-actualization.