Nokea
Patients of Asian Indian origin who use alternative medical treatments are most likely to subscribe to which of the following?
- A. Moxibustion
- B. Reiki
- C. Ayurvedic medicine
- D. Opium
Correct Answer: C
Rationale: Ayurvedic medicine is widely used in Indian culture for holistic healing.
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Which nursing statement describes the basis of the ethical theory called utilitarianism?
- A. The client has a right to make decisions based on what he wants and needs.'
- B. Every client deserves the care that I would want if I were in his situation.'
- C. I can't allow a client to smoke in the day room since it isn't healthy for the other clients.'
- D. The homeless need access to quality mental health care just as much as any other group.'
Correct Answer: C
Rationale: Rationale:
C is correct because it reflects the utilitarian principle of maximizing overall well-being. By preventing one client from smoking in the day room, the nurse is prioritizing the health and well-being of all clients in that space. This action aims to benefit the greatest number of individuals.
Incorrect Choices:
A: This statement reflects autonomy (ethical principle), not utilitarianism.
B: This statement reflects the golden rule (ethical principle), not utilitarianism.
D: This statement emphasizes equality and access to care, not the utilitarian principle of maximizing overall well-being.
Your patient attends to see you for a routine visit but mentions his problem dealing with gambling impulses. After probing further, you conclude that the patient is an at-risk gambler. He seems reluctant to admit and does not want to be referred for counselling. You affirm his gambling problem, and should take the following steps EXCEPT:
- A. Advice on limiting the money spent when gambling.
- B. Advice on reducing the time and days spent gambling.
- C. Berate him for his lack of self control.
- D. Discourage the notion of gambling as a means of making money.
Correct Answer: C
Rationale: Berating the patient is counterproductive and unprofessional; supportive strategies like limiting money and time are more effective.
With growing age motivation reduces naturally.
- A. Extrinsic
- B. Frequent
- C. Intrinsic
- D. Concentrated
Correct Answer: C
Rationale: Intrinsic motivation, driven by internal rewards, tends to decline with age due to shifts in priorities.
A person with hearing loss can just begin to detect sound at a decibel level similar to
- A. Rustle of leaves
- B. One in four
- C. 10 feet away
- D. Whisper
Correct Answer: A
Rationale: Rustle of leaves (~20 dB) is detectable with mild hearing loss.
Which intervention will have the greatest impact on reducing the stigma and rejection currently experienced by individuals with mental illness?
- A. Providing services to the mentally ill that minimize the need to rely upon the community
- B. Holding activities at mental health facilities that are open to the community to foster acceptance
- C. Educating local citizen groups on the needs and experiences of the mentally ill in their community
- D. Focusing on improving the socialization skills of mentally ill individuals living in the community
Correct Answer: C
Rationale: The correct answer is C: Educating local citizen groups on the needs and experiences of the mentally ill in their community. This intervention addresses the root cause of stigma - lack of understanding and awareness. By educating the community, misconceptions can be corrected, empathy can be cultivated, and stigma can be reduced. Choice A does not directly address stigma reduction but rather focuses on minimizing reliance on the community. Choice B, while promoting acceptance, may not necessarily tackle stigma at its core. Choice D, improving socialization skills, is beneficial but may not address the systemic issue of stigma. Ultimately, educating the community is key to fostering a more inclusive and supportive environment for individuals with mental illness.