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How many types of family based on authority:
- A. 5
- B. 2
- C. 4
- D. 3
Correct Answer: C
Rationale: Family types by authority are 4: patriarchal, matriarchal, egalitarian, and mixed.
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Which of the following is not a component of Bandura's theory
- A. Self-efficacy
- B. Reciprocal determinism
- C. Classical conditioning
- D. Behavioral capability
Correct Answer: C
Rationale: Classical conditioning is Pavlov's, not Bandura's; Bandura focused on social and cognitive factors.
The forensic psychiatric nurse oftentimes has conflicting goals when providing psychiatric care while serving the legal system. Which situation best demonstrates this conflict?
- A. Performing a mental health assessment on an individual diagnosed with paranoid schizophrenia who is accused of violently attacking a neighbor he believed was 'spying for the government'
- B. Providing both physical and emotional care to a female who was raped while securing and preserving the evidence that will be used in a court of law
- C. Arranging for and then leading an anger management therapy group for a group of female offenders who are about to be paroled
- D. Conducting a depression screening on a newly incarcerated prisoner serving a 25-year sentence in a federal prison
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the conflict between providing psychiatric care and serving the legal system. In this scenario, the nurse must assess a patient with paranoid schizophrenia who committed a violent act due to delusions. The nurse needs to balance the patient's mental health needs with addressing the legal implications of the violent behavior.
Choice B involves caring for a rape victim and preserving evidence, which aligns with both nursing and legal responsibilities. Choice C focuses on providing therapy to offenders, which does not inherently present a conflict between psychiatric care and legal duties. Choice D involves conducting a depression screening for a prisoner, which is important for mental health care but does not inherently involve a conflict with legal obligations.
Place the following phases of crisis in the correct sequential order. Order each response with a number from first to last, with #1 as the first phase of crisis to #4 which is the fourth phase of crisis. 1. The signs and symptoms of the General Adaptation Syndrome 2. Detachment and disorientation 3. Trying alternative methods of coping 4. The use of psychological ego defense mechanisms
- A. 3,2,1,4
- B. 1,2,3,4
- C. 4,3,2,1
- D. 4,3,1,2
Correct Answer: B
Rationale: Crisis phases (B: 1,2,3,4) follow GAS, detachment, coping attempts, and defense mechanisms.
Of children between birth and 18 years of age, what severity of hearing loss is the most common?
- A. Severe
- B. One in four
- C. Minimal
- D. Moderate
Correct Answer: C
Rationale: Minimal hearing loss is most common in children, often unnoticed but impactful.
Which statement most accurately describes substance dependence?
- A. It is a lack of control over use. Tolerance and withdrawal symptoms occur when intake is reduced or stopped.
- B. It occurs when psychoactive drug use interferes with the work of competing neurotransmitters.
- C. Symptoms occur when two or more drugs that affect the central nervous system (CNS) have additive effects.
- D. It involves taking a combination of substances to weaken or inhibit the effect of another drug.
Correct Answer: A
Rationale: Rationale for Answer A:
1. Substance dependence involves a lack of control over use, leading to compulsive drug-seeking behavior.
2. Tolerance and withdrawal symptoms are key indicators of substance dependence when intake is reduced or stopped.
3. These symptoms result from physiological changes in the body due to chronic drug use.
4. The cycle of tolerance and withdrawal reinforces the dependence on the substance.
Summary of why other choices are incorrect:
B. Interference with neurotransmitters is more related to the pharmacological effects of drugs, not a defining feature of substance dependence.
C. Additive effects of drugs do not necessarily indicate substance dependence but rather interactions between different substances.
D. Combining substances to weaken effects does not define substance dependence; it is more about the compulsive use and physical dependence on a substance.