Nokea
----% have mild intellectual disability:
- A. 88
- B. 89
- C. 85
- D. 86
Correct Answer: C
Rationale: About 85% of those with intellectual disability have mild forms, manageable with support.
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The theorist who believes in moral reasoning is
- A. Sigmund Freud
- B. Lawrence Kohlberg
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: B
Rationale: Lawrence Kohlberg's stages of moral reasoning build on cognitive development.
Jack and Ann have come to the clinic for family therapy. They have been married for 18 years. Jack had an affair with his secretary 5 years ago. He fired the secretary and assures Ann and the nurse that he has been faithful ever since. Jack tells the nurse, 'We have never been able to get along with each other. We can’t talk about anything . . . all we do is shout at each other. And every time she gets angry with me, she brings up my infidelity. I can’t even imagine how many times each of us has threatened divorce over the years. Our kids don’t have any idea what it is like to have parents who get along with each other. I’ve really had enough!' The nurse would most likely document which of the following in her assessment of this couple?
- A. Marital skew
- B. Pseudohostility
- C. Double-bind communication
- D. Marital schism
Correct Answer: D
Rationale: The correct answer is D: Marital schism. Marital schism refers to a state of constant conflict and disengagement in a marriage. In this scenario, Jack and Ann exhibit a significant disconnect in their relationship, as evidenced by their inability to communicate effectively, frequent shouting matches, and unresolved issues such as Jack's infidelity. The nurse would likely document a marital schism in her assessment due to the ongoing discord and lack of emotional connection between the couple.
Incorrect choices:
A: Marital skew typically refers to power imbalances in a relationship, which is not the primary issue in this case.
B: Pseudohostility involves false or exaggerated hostility, which is not the main concern in Jack and Ann's situation.
C: Double-bind communication involves contradictory messages leading to confusion, which is not the central issue in this scenario.
The theorist who believes humans have unconscious motives is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: A
Rationale: Freud's psychoanalysis centers on unconscious motives.
Diverse cultural beliefs can result in dramatically varied perceptions of wellness, disease, and the treatment of disease. In order to best address these variations when planning nursing care, the nurse and client initially:
- A. Agree to respect each other's beliefs and values.
- B. Discuss what the client believes is the cause of his or her illness.
- C. Agree that treatment planning will include family members when possible.
- D. Discuss the incorporation of both traditional nursing practice and culturally based practices.
Correct Answer: B
Rationale: The correct answer is B: Discuss what the client believes is the cause of his or her illness. This is the best initial step to address cultural variations in perceptions of wellness and disease because it allows the nurse to understand the client's perspective and tailor care accordingly. By exploring the client's beliefs, the nurse can identify any cultural factors that may impact treatment decisions.
A: Agree to respect each other's beliefs and values - While important, this is a broader concept and may not directly address the specific cultural beliefs influencing the client's health views.
C: Agree that treatment planning will include family members when possible - Involving family members is valuable but may not directly address the immediate need to understand the client's beliefs about illness.
D: Discuss the incorporation of both traditional nursing practice and culturally based practices - This is important but may be premature without first understanding the client's specific beliefs about illness.
The difference between child abuse and child neglect is:
- A. Abuse is done on purpose; neglect is accidental.
- B. Abuse is an act of commission; neglect is an act of omission.
- C. Abuse is a crime; neglect is not.
- D. Children are often afraid to report abuse, but are willing to report neglect.
Correct Answer: B
Rationale: Abuse is purposeful mistreatment of another (therefore commission) and neglect is deprivation that is an omission of needed care.