Nokea
In which age children develop a sense of trust:
- A. 0-1 year
- B. 1-3 years
- C. 3-5 years
- D. 5-7 years
Correct Answer: A
Rationale: Erikson's trust vs. mistrust stage occurs from birth to 1 year, building trust through caregiver reliability.
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An example of a maturational crisis would be:
- A. Experiencing an unplanned pregnancy.
- B. Losing one's job within months of retiring.
- C. Working at a bank that was recently robbed.
- D. Having one's only child leave home to attend college.
Correct Answer: D
Rationale: The correct answer is D because having one's only child leave home to attend college is an example of a maturational crisis. This event represents a significant life transition that can trigger emotional distress and force a reevaluation of one's identity and roles as a parent. It is a normal developmental milestone that signifies a shift in family dynamics and requires adjustment to an empty nest.
A: Experiencing an unplanned pregnancy is not a maturational crisis as it is more related to a situational crisis.
B: Losing one's job within months of retiring is not a maturational crisis but rather a situational crisis related to financial security.
C: Working at a bank that was recently robbed is not a maturational crisis but a situational crisis related to work safety and stress.
A patient was admitted last night with a hip fracture sustained in a fall while intoxicated. The patient points to the Buck traction and screams, 'Somebody tied me up with ropes.' The patient is experiencing:
- A. illusion
- B. delusion
- C. hallucinations
- D. hypnagogic phenomenon
Correct Answer: A
Rationale: The correct answer is A: illusion. An illusion is a misinterpretation of a real external stimulus. In this case, the patient is misperceiving the traction as ropes due to the altered mental state from intoxication. It is a sensory distortion based on a real object. Delusion (B) is a fixed false belief, not related to sensory perceptions. Hallucinations (C) are false sensory perceptions without external stimulus. Hypnagogic phenomenon (D) refers to sensory experiences during the transition from wakefulness to sleep, not applicable here.
The nurse is preparing to provide education related to HIV transmission at a local community health fair. Which statements should the nurse recommend for inclusion in the teaching? (Select all that apply.)
- A. Use oil-based lubricants.
- B. Use a new condom for each sex act.
- C. Use condoms that are not made of latex.
- D. Fit condom tightly over the tip of the penis.
Correct Answer: B
Rationale: Step 1: Using a new condom for each sex act helps reduce the risk of HIV transmission by preventing the exchange of bodily fluids.
Step 2: This practice ensures that there is no risk of contamination from a previously used condom.
Step 3: It is a crucial aspect of safe sex practices to protect oneself and others from contracting HIV.
Summary: Choice B is correct as it promotes safe sex practices. Choices A, C, and D are incorrect as they do not contribute to reducing the risk of HIV transmission.
You need to see a doctor for hearing loss when
- A. Sounds seem muffled
- B. One in four
- C. Difficulty understanding words against background noise
- D. Both A and C
Correct Answer: D
Rationale: Muffled sounds and speech comprehension issues signal a need for medical attention.
A patient asks for information about Alcoholics Anonymous (AA). Which is the nurse’s best response?
- A. It is a self-help group with the goal of sobriety.'
- B. It is a form of group therapy led by a psychiatrist.'
- C. It is a group that learns about drinking from a group leader.'
- D. It is a network that advocates strong punishment for drunk drivers.'
Correct Answer: A
Rationale: The correct answer is A: "It is a self-help group with the goal of sobriety." This is the best response because Alcoholics Anonymous (AA) is indeed a self-help group focused on achieving and maintaining sobriety through shared experiences and support. Choice B is incorrect because AA is not led by a psychiatrist but rather by individuals who are also in recovery. Choice C is incorrect as AA does not focus on learning about drinking but rather on supporting recovery. Choice D is incorrect as AA does not advocate for punishment but rather emphasizes compassion and understanding towards individuals struggling with alcohol addiction.