In -----------------when the man insulted by the boss can directly affect the children and wife at home:
- A. Rationalization
- B. Defense mechanism
- C. Scape goat
- D. Coping
Correct Answer: C
Rationale: Scapegoating involves displacing frustration (e.g., from a boss) onto others (e.g., family), a Freudian concept.
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In contemporary societies, social institutions are
- A. Virtual communities in the cyberspace
- B. Both of these are correct
- C. Highly specialized, interrelated sets of social practices
- D. Disorganized social relations to a post modern world
Correct Answer: C
Rationale: Social institutions (e.g., family) are structured, specialized systems.
The Patient Self Determination Act of the United States protects clients in terms of their rights to what? Select one that does not apply.
- A. Privacy and to have their medical information confidential unless the client formally approves the sharing of this information with others such as family members.
- B. Make healthcare decisions and to have these decisions protected and communicated to others when they are no longer competent to do so.
- C. Be fully informed about all treatments in term of their benefits, risks and alternatives to them so the client can make a knowledgeable and informed decision about whether or not to agree to having it
- D. Make decisions about who their health care provider is without any coercion or undue influence of others including healthcare providers.
Correct Answer: A
Rationale: These are the rights safeguarded under the Patient Self Determination Act.
Physicians encounter many patients who may be unaccustomed to the U.S. health care system. How can physicians effectively take care of patients from diverse backgrounds?
- A. Physicians should focus on their communication skills over understanding a patient's cultural context
- B. Physicians should emphasize good communication in combination with understanding a patient's cultural context
- C. Physicians should prioritize understanding a patient's cultural context and leave communication to a trained medical interpreter
- D. Physicians should treat all patients in the same manner, regardless of a patient's preconceived notions of the U.S. health care system
Correct Answer: B
Rationale: Combining communication and cultural context ensures effective, tailored care.
Which scenario best demonstrates a healthy family?
- A. One parent takes care of children. The other parent earns income and maintains the home.
- B. A family has strict boundaries that require members to address problems within the family.
- C. A couple requires their adolescent children to attend church services 3 times a week.
- D. A couple renews their marital relationship after their children become adults.
Correct Answer: D
Rationale: Revamping the marital relationship after children move out of the family of origin indicates the family is moving through its stages of development. Strict family boundaries or roles interfere with flexibility and use of outside resources. Adolescents should have some input into deciding their activities.
Which of the following clients is at greatest risk for extravasation?
- A. The client with heart failure who is receiving Ringer's lactate
- B. The client with cancer who is receiving bendamustine
- C. The client who is receiving potassium supplementation intravenously
- D. The client who is receiving total parenteral nutrition
Correct Answer: B
Rationale: Bendamustine (B) is a vesicant, increasing extravasation risk.