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he Montessori approach believes that discipline comes from
- A. Punishment
- B. Reward
- C. Self-control
- D. Teacher's authority
Correct Answer: C
Rationale: Montessori fosters self-control as the basis for discipline.
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Which serious side effect of Elavil requires immediate intervention? A. Orthostatic hypotension B. Urinary retention C. ECG changes D. Sedation
- A. Orthostatic hypotension
- B. Urinary retention
- C. ECG changes
- D. Sedation
Correct Answer: B
Rationale: The correct answer is B: Urinary retention. Elavil, a tricyclic antidepressant, can cause anticholinergic effects leading to urinary retention, which can be a serious side effect requiring immediate intervention to prevent complications like urinary retention, necessitating prompt medical attention to prevent potential complications such as bladder distention or urinary retention-induced kidney damage.
A: Orthostatic hypotension - While Elavil can cause orthostatic hypotension, it is not typically considered a serious side effect that requires immediate intervention.
C: ECG changes - Elavil can cause ECG changes, but they may not always necessitate immediate intervention.
D: Sedation - Sedation is a common side effect of Elavil but is not typically considered a serious side effect requiring immediate intervention.
Which nursing intervention best builds a therapeutic nurse-client relationship?
- A. Actively listening as the client expresses his or her thoughts and feelings
- B. Intervening when the client begins to state beliefs that come from his or her illness
- C. Evaluating a client's behaviors and interpersonal relationships frequently to identify stressors
- D. Passively allowing the client to control the communication and tone of the discussions
Correct Answer: A
Rationale: The correct answer is A because actively listening allows the nurse to show empathy, understanding, and respect towards the client, which are essential for building a therapeutic relationship. By actively listening, the nurse can demonstrate genuine interest in the client's thoughts and feelings, fostering trust and rapport.
Choice B is incorrect as intervening when the client expresses beliefs from their illness may disrupt the client's expression and hinder the development of trust.
Choice C is incorrect because evaluating behaviors and relationships may create a sense of judgment and lack of privacy, which can be detrimental to the therapeutic relationship.
Choice D is incorrect because passively allowing the client to control communication may lead to a lack of direction and boundaries, potentially hindering effective communication and rapport-building.
Select the legal term that is accurately paired with its description.
- A. Assault: Touching a person without their consent
- B. Battery: Threatening to touch a person without their consent
- C. Slander: False oral defamatory statements.
- D. Slander: False written defamatory statements.
Correct Answer: C
Rationale: Slander refers to false oral statements, while libel pertains to written ones.
The nurse-therapist is counseling the Smith family: Mr. and Mrs. Smith, 10-year-old Rob, and 8-year-old Lisa. When Mr. and Mrs. Smith start to argue, Rob hits Lisa and Lisa starts to cry. The Smiths then turn their attention to comforting Lisa and scolding Rob, complaining that he is 'out of control and we don’t know what to do about his behavior.' These dynamics are an example of which of the following?
- A. Double-bind messages
- B. Triangulation
- C. Pseudohostility
- D. Multigenerational transmission
Correct Answer: B
Rationale: The correct answer is B: Triangulation. Triangulation occurs when a third party (in this case, the children) is brought into a conflict between two other parties (Mr. and Mrs. Smith). In this situation, the parents' argument has led to the children being drawn into the conflict, with Rob hitting Lisa. The parents then focus on the children, shifting attention away from their own issues. This behavior creates a dysfunctional dynamic within the family.
A: Double-bind messages refer to contradictory communication that causes confusion and emotional distress. This is not evident in the given scenario.
C: Pseudohostility involves expressing anger indirectly. While there may be some hostility in the family dynamics, it is not the primary issue at play.
D: Multigenerational transmission relates to the passing down of behaviors and beliefs through generations, which is not explicitly demonstrated in this scenario.
Color-coded and gender-typed clothing of infants and children are
- A. No longer allowed in hospitals
- B. Likely to change dramatically in 20 years
- C. Universal
- D. Acceptable only in industrialized countries
Correct Answer: C
Rationale: Gender-typed clothing (e.g., pink for girls) is a universal practice.