It is recorded in the client's chart that the family is resilient. The nurse concludes which of the following characteristics about the family life of this client? Select all that apply.
- A. Family members are independent of one another.
- B. Family members spend time together.
- C. Family members engage in recreational activities together.
- D. Family members share the same personal goals.
- E. Family members allow individual members to develop unique daily routines.
Correct Answer: B,C
Rationale: Resilient families spend time together and engage in recreational activities, fostering accord and support.
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Which one of the following statements about the roles that biologic makeup plays in a client's emotional responses is most accurate?
- A. Biologic differences can affect a client's response to treatment with psychotropic drugs.
- B. Biologic differences do not affect a client's response to treatment with psychotropic drugs.
- C. Heredity and biologic factors are under voluntary control.
- D. Persons cannot change their health status and improve the ability to cope.
Correct Answer: A
Rationale: Biologic differences can affect a client's response to treatment with psychotropic drugs, influencing the efficacy and side effects of medications.
The nurse considers cultural variations pertaining to a client's nonverbal communication. Which of the following is the primary rationale for considering alternative meanings of nonverbal communication?
- A. The nurse must become expert at interpreting the client's gestures.
- B. Nonverbal signs indicative of certain mental illnesses transcend cultural differences.
- C. Mental illnesses impair a client's ability to express nonverbal(messages.
- D. Nonverbal messages have different meanings in different cultures.
Correct Answer: D
Rationale: Nonverbal communication has different meanings across cultures, requiring the nurse to be aware of these variations.
Which of the following statements about hope and symptoms of mental illness are true? Select all that apply.
- A. Hope is not realistic and therefore is not related to mental well-being.
- B. Persons having more hope experienced fewer actual symptoms.
- C. Hope is a cause of mental illness.
- D. There is not a significant relationship between hopelessness and increased symptoms.
- E. A possible way to help clients manage and decrease symptoms would be to support the development of hope.
Correct Answer: B,E
Rationale: Hope is associated with fewer symptoms, and supporting its development can help manage mental illness symptoms.
A client from which of the following cultural groups is likely to prefer closeness in personal space?
- A. Arab Americans
- B. Chinese
- C. Cubans
- D. African Americans
Correct Answer: A
Rationale: Arab Americans prefer closeness in personal space.
Several family members arrive to visit an African American client. The nurse can best meet this client's need for socialization by providing the client and family which of the following?
- A. Individual visits to provide the client with a calm environment
- B. Group gatherings and open conversation
- C. Inclusion of ritualistic health practices with the family present
- D. A spiritual healer to remove the illness and protect the family
Correct Answer: B
Rationale: African American families often provide support through animated group interactions and public affection.
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