Nokea
Parents of a teenager recently diagnosed with serious mental illness express dismay. One parent says, Our child acts so strangely that we dont invite friends to our home. We quit taking vacations. Sometimes we dont get any sleep. Which nursing diagnosis best applies?
- A. Impaired parenting
- B. Dysfunctional grieving
- C. Impaired social interaction
- D. Interrupted family processes
Correct Answer: D
Rationale: Interrupted family processes are evident in the face of disruptions in family functioning as a result of having a mentally ill member. Assessment data best support this diagnosis. Data are insufficient to support the other diagnoses.
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Select the standardized “hand off†change of shift reporting system that is accurately paired with its elements.
- A. SBAR: Symptoms, background, assessment and recommendations
- B. ISBAR: Interventions, symptoms, background, assessment and recommendations
- C. The Five Ps: The patient, plan, purpose, problems and precautions
- D. BATON: Background, assessment, timing, ownership and next plans
Correct Answer: B
Rationale: ISBAR includes these elements for structured communication.
Women are overrepresented in family responsibilities
- A. Public sector
- B. Contingent
- C. Semi-skilled
- D. Private sector
Correct Answer: B
Rationale: Contingent (flexible) work allows women to balance family duties.
How many dependent variable can you have in an experiment:
- A. 3
- B. 2
- C. 1
- D. As many as you want
Correct Answer: D
Rationale: Multiple dependent variables can be measured, depending on the research question and design.
Purposely hurting a family pet is a warning sign of other types of abuse in the home.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Studies indicate that abuse of family pets can be an indicator of family violence as the abuser demonstrates his power and control.
The nurse is collecting data for a patient with suspected exposure to HIV. Which symptoms would be most concerning in this patient?
- A. Tremors, edema, coughing
- B. Fever, diarrhea, sore throat
- C. Urticaria, sneezing, pruritus
- D. Abdominal pain, anorexia, and vomiting
Correct Answer: B
Rationale: The correct answer is B because fever, diarrhea, and sore throat are common symptoms associated with acute HIV infection. Fever is often the first symptom, followed by other flu-like symptoms such as diarrhea and sore throat. These symptoms may indicate an acute retroviral syndrome, which occurs within 2-4 weeks of initial HIV infection. Tremors, edema, coughing (Choice A) are not typical symptoms of acute HIV infection. Urticaria, sneezing, pruritus (Choice C) are more indicative of allergic reactions or other non-HIV related conditions. Abdominal pain, anorexia, vomiting (Choice D) are also not specific to HIV infection.