Nokea
If it is the right of the patient to decide whom to disclose personal medical information to, how should the physician respond when requested to withhold information about a diagnosis from family members?
- A. Attempt to convince the patient to tell his/her family of their diagnosis
- B. Ignore the patient's request and ask to have a family conference
- C. Accept the patient's wishes without further discussion
- D. Initiate further discussion and help the patient identify a surrogate decision maker
Correct Answer: D
Rationale: Discussion respects autonomy while preparing for future decision-making needs.
You may also like to solve these questions
Which question asked by the nurse best serves as a screening tool for the assessment of a possible problem with alcohol abuse?
- A. When was the last time you drank alcohol?'
- B. Is there a history of alcohol abuse in your immediate family?'
- C. How old were you when you had your first drink of alcohol?'
- D. In the last year, did you ever drink more alcohol than you intended to?'
Correct Answer: D
Rationale: The correct answer is D because it directly assesses the individual's control over alcohol consumption, a key indicator of potential alcohol abuse. By asking if the person has ever consumed more alcohol than intended in the last year, the nurse can gauge if there are issues with self-regulation and potential abuse. Choices A, B, and C focus on past behaviors or family history, which are important but do not directly address current patterns of alcohol consumption and potential abuse.
The child's ability to understand spatial relations develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Spatial reasoning, like conservation of space, develops in the concrete operational stage (Piaget).
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.
----testing to check a child's reasoning skills, reactions to different situations, and thinking. It does not test general knowledge:
- A. Psychological
- B. Psychometric
- C. Psychographic
- D. Physiological
Correct Answer: B
Rationale: Psychometric testing assesses reasoning and cognitive skills, not general knowledge.
A young adult tells the nurse at the local free clinic that he is currently living in his car and panhandling for money. The nurse asks the individual the reason for his decision to live as he does. Which response will the nurse follow up on to determine if the individual is experiencing mental health issues?
- A. I'll live in a house and get a job when the government gives everyone those opportunities.'
- B. I live like this for 3 months each year just to remind myself how much I really have.'
- C. This way they can't find me and if they can't find me they can't hurt me.'
- D. The law says I can live any way I want to as long as I'm not hurting anyone.'
Correct Answer: C
Rationale: The correct answer is C because the response indicates a potential underlying fear of being harmed, which could suggest paranoia or anxiety related to mental health issues. This response shows a sense of vulnerability and a need for safety by avoiding potential harm. Choices A and D do not directly address any mental health concerns but rather focus on external factors and legalities. Choice B suggests a purposeful and temporary choice that does not indicate mental health issues. Therefore, the nurse should follow up on choice C to further assess the individual's mental well-being.