Of the following community resources, which referral is the nurse most likely to suggest for this client?
- A. Alcoholics Anonymous
- B. Al-Anon
- C. Alateen
- D. The Substance Abuse Council
Correct Answer: C
Rationale: Alateen supports teens affected by a family member's alcoholism.
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The nurse correctly explains that the behavior the preschooler is demonstrating is based on a need to feel what?
- A. Powerful
- B. Secure
- C. Confident
- D. Dependent
Correct Answer: B
Rationale: Preschoolers seek security in stressful situations.
What is the best guidance the nurse can give the mental health technician caring for the anorectic client?
- A. Blend the food and administer it by tube feeding.
- B. Remind the client that the intake is being recorded.
- C. Review the treatment goals with the client again.
- D. Remove the food without making any comments.
Correct Answer: D
Rationale: Removing food without comment avoids power struggles and maintains neutrality.
Which of the following information documented by the nurse provides the most evidence that the mother is bonding with her newborn with Down syndrome?
- A. The mother smiles and talks to the baby.
- B. The mother asks questions about infant care.
- C. The mother wants to see visitors who come.
- D. The mother feeds and burps the baby.
Correct Answer: A
Rationale: Smiling and talking to the baby indicate emotional engagement and attachment, key signs of bonding.
If this diagnosis is accurate, it is most important for the nurse to assess for which characteristic finding?
- A. The mother is obsessed with the fear that her child will die.
- B. The mother is well versed in normal health patterns among children.
- C. The mother is responsible for creating the child's symptoms.
- D. The mother is overreacting to minor variations in her child's health.
Correct Answer: C
Rationale: Munchausen syndrome by proxy involves a caregiver causing or fabricating symptoms.
What is the most appropriate recommendation for eliminating the 2-year-old's tantrums?
- A. Give the child candy before entering the store.
- B. Ask the child to stop kicking and screaming.
- C. Explain to the child that this behavior is childish.
- D. Remind the child of how a big person acts.
Correct Answer: B
Rationale: Calmly addressing the behavior sets boundaries without reinforcing it.
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