Nurses would expect that a nonthreatening form of therapy for a child who has been sexually abused would be:
- A. Systematic desensitization.
- B. Group therapy.
- C. Art or play therapy.
- D. Rational emotive therapy.
Correct Answer: C
Rationale: Art and play therapy allow the child to work through feelings without having to have the words for them.
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In which stage children have the ability to perform abstract thought is also applied to future goals and aspirations:
- A. Pre-operational
- B. Concrete operational
- C. Sensorimotor
- D. Formal operational
Correct Answer: D
Rationale: The formal operational stage (11+ years) enables abstract thought and planning, per Piaget.
As the nurse in a primary care clinic, which cultural concern would you integrate into your psychological assessments of your clients?
- A. The concern related to the client's cultural reluctance to report psychological symptoms because of some possible culturally based stigma associated with psychiatric mental health disorders
- B. Concerns revolving around the lack of financial and health insurance resources to pay for psychological care
- C. Concerns related to the compliance with psychological treatment regimens because of the client's lack of social support systems
- D. The concern related to the culturally based client apathy about nursing care and nursing assessments
Correct Answer: A
Rationale: Cultural stigma (A) affects psychological reporting.
A parent became unemployed 6 months ago. The parent has subsequently been verbally abusive toward the spouse and oldest child. The child ran away twice, and the spouse has become depressed. What is the most appropriate nursing diagnosis for this family?
- A. Impaired parenting related to verbal abuse of oldest child
- B. Impaired social interaction related to disruption of family bonds
- C. Ineffective community coping related to fears about economic stability
- D. Disabled family coping related to insecurity secondary to loss of family income
Correct Answer: D
Rationale: Disabled family coping refers to the behavior of a significant family member that disables his or her own capacity as well as anothers capacity to perform tasks essential to adaptation. The distracters are inaccurate because the stressors influence more than one individual.
The Montessori approach believes children learn through
- A. Observation
- B. Instruction
- C. Repetition
- D. Testing
Correct Answer: A
Rationale: Montessori emphasizes learning via observation and exploration.
Sarah is an African American woman who lives in the rural South. She receives a visit from the public health nurse. Sarah says to the nurse, 'Granny told me to eat a lot of poke greens and I would feel better.' How should the nurse interpret this statement?
- A. Sarah's grandmother believes in the healing power of poke greens.
- B. Sarah believes everything her grandmother tells her.
- C. Sarah has been receiving health care from 'folk practitioners.'
- D. Sarah is trying to determine if the nurse agrees with her grandmother.
Correct Answer: A
Rationale: Sarah's statement directly references her grandmother's belief in the healing properties of poke greens, suggesting a cultural or traditional health practice, which aligns with option a.