One of the significant assumptions of ethnic sensitive practice includes ethnicity as a source of strain, discordance, and strife, as well as a source of cohesion, identity, and strength.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Ethnicity is seen as dual-natured, offering both challenges and strengths in family dynamics.
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Memory for personal events in our life is termed as
- A. Procedural
- B. Semantic
- C. Episodic
- D. Long term memory
Correct Answer: C
Rationale: Episodic memory stores personal experiences (Tulving).
hich of the following statements is not correct?
- A. Lecture method is a one way process
- B. During lecture method students are passive
- C. Lecture method can develop knowledge
- D. Lecture method can develop reasoning
Correct Answer: D
Rationale: Lectures are less effective for developing reasoning, which requires active engagement, not passive listening.
The nurse knows the lithium, a naturally-occurring salt that is excreted by the kidneys, has the potential to adversely affect:
- A. Renal function
- B. Thyroid function
- C. ECG
- D. Polyuria
Correct Answer: A
Rationale: The correct answer is A: Renal function. Lithium is excreted by the kidneys, and its accumulation can lead to renal toxicity, affecting renal function. The other choices are incorrect because lithium primarily affects the kidneys, not the thyroid (B), ECG (C), or causes polyuria (D). Lithium toxicity is commonly associated with renal impairment, making A the most appropriate choice.
Which treatment approach is most appropriate for a patient with antisocial tendencies who has been treated several times for substance addiction but has relapsed?
- A. One-week detoxification program
- B. Long-term outpatient therapy
- C. Twelve-step self-help program
- D. Residential program
Correct Answer: D
Rationale: The correct answer is D: Residential program. This option is most appropriate because a residential program provides a highly structured environment with 24/7 support and supervision, which is crucial for individuals with antisocial tendencies and a history of relapse. This intensive setting helps address the complex needs of the patient, including addiction and behavioral issues. On the other hand, A (One-week detox program) is too short and does not address the underlying issues. B (Long-term outpatient therapy) may not provide sufficient support and monitoring for someone with a high risk of relapse. C (Twelve-step self-help program) can be beneficial but may not offer the level of supervision and intensive treatment needed for this patient.
Andrew, a New York City firefighter, and his entire unit responded to the terrorist attacks at the World Trade Center. Working as a team, he and his best friend, Carlo, entered the area together. Carlo was killed when the building collapsed. Andrew was injured, but survived. Since that time, Andrew has had frequent nightmares and anxiety attacks. He says to the mental health worker, 'I don’t know why Carlo had to die and I didn’t!' This statement by Andrew suggests that he is experiencing:
- A. Spiritual distress
- B. Night terrors
- C. Survivor’s guilt
- D. Suicidal ideation
Correct Answer: C
Rationale: The correct answer is C: Survivor's guilt. Andrew's statement indicates feelings of guilt and confusion about why he survived while Carlo did not. Survivor's guilt is a common psychological response in individuals who have lived through a traumatic event where others did not. Andrew's frequent nightmares and anxiety attacks are also typical symptoms of survivor's guilt.
A: Spiritual distress is not the correct answer in this scenario as Andrew's statement does not specifically reference any spiritual or religious beliefs or conflicts.
B: Night terrors may be a symptom of Andrew's PTSD, but his statement about not understanding why he survived while Carlo did not suggests a deeper emotional struggle beyond just experiencing night terrors.
D: Suicidal ideation is not the correct answer as Andrew's statement does not indicate any desire or intention to harm himself. Rather, he is expressing confusion and guilt about surviving the traumatic event.