Nokea
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.
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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.
A patient newly diagnosed with pancreatic cancer says, My father also died of pancreatic cancer. I took care of him during his illness. I can't go through that. Select the highest priority nursing diagnosis.
- A. Anticipatory grieving
- B. Ineffective coping
- C. Ineffective denial
- D. Risk for suicide
Correct Answer: D
Rationale: The patients statement has a subtle message of suicide. Suicide is a risk for people with major losses, including terminal disease. The nurse will need to monitor the suicide risk vigilantly. The other diagnoses may apply but are lower priority.
The child's ability to understand consequences develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Understanding consequences, tied to logical thinking, develops in the concrete operational stage (Piaget).
A parent is admitted to a chemical dependency treatment unit. The patients spouse and adolescent children attend a family session. Which initial assessment question should the nurse ask of family members?
- A. What changes are most important to you?
- B. How are feelings expressed in your family?
- C. What types of family education would benefit your family?
- D. Can you identify a long-term goal for improved functioning?
Correct Answer: B
Rationale: It is important to understand family characteristics, particularly in a family under stress. Expression of feelings is an important aspect of assessment of the familys function (or dysfunction). The distracters relate more to outcome identification and planning interventions, both of which should be delayed until the assessment is complete.
An HIV-infected patient reports being a cat lover and says, 'I always get my pets from a known sanitary source.' What should the nurse instruct the patient about cats and the risk of infection?
- A. Keep cats outdoors most of the time.'
- B. Obtain only cats that are less than 1 year old.'
- C. Remove all pets from your home. Avoid all contact with cats.'
- D. Be sure all the cats have up-to-date immunizations, and avoid their feces.'
Correct Answer: D
Rationale: The correct answer is D because HIV-infected individuals are at higher risk for infections, including from Toxoplasma gondii found in cat feces. By ensuring cats have up-to-date immunizations and avoiding their feces, the patient can reduce the risk of infection.
A: Keeping cats outdoors most of the time does not address the risk from cat feces inside the house.
B: The age of the cat does not necessarily correlate with the risk of infection, so this advice is not relevant.
C: Removing all pets and avoiding all contact with cats is an extreme measure and not necessary if proper precautions are taken.