Nokea
Reinforcer is used to the behaviour
- A. Strengthen
- B. Weaken
- C. Perform
- D. Remove
Correct Answer: A
Rationale: Reinforcers strengthen behavior (Skinner).
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You need to see a doctor for hearing loss when
- A. Sounds seem muffled
- B. One in four
- C. Difficulty understanding words against background noise
- D. Both A and C
Correct Answer: D
Rationale: Muffled sounds and speech comprehension issues signal a need for medical attention.
ne 'double standard' normally refers to the difference in social attitudes towards
- A. Child and adult sexual activity
- B. Homosexual and heterosexual activity
- C. Male and female sexual activity
- D. Working class and middle class sexual activity
Correct Answer: C
Rationale: The double standard typically critiques differing expectations for male vs. female sexual behavior.
Which federal law is most closely associated with the highly restrictive “need to know�
- A. The Patient Self Determination Act
- B. The Mental Health Parity Act
- C. The Health Insurance Portability and Accountability Act
- D. The Americans with Disabilities Act of 1990
Correct Answer: C
Rationale: HIPAA enforces strict 'need to know' provisions for medical information.
The nurse psychotherapist is working with the Jones family in the outpatient mental health clinic. The husband says, 'We can’t agree on anything! And it seems like every time we disagree on something it ends up in a screaming match.' Which of the following prescriptions by the nurse represents a paradoxical intervention for the Jones family?
- A. Mr. and Mrs. Jones must not have a disagreement for one full day.
- B. Mr. and Mrs. Jones will yell at each other on Tuesdays and Thursdays from 8 p.m. until 8:10 p.m.
- C. Mr. and Mrs. Jones must refrain from yelling at each other until the next counseling session.
- D. Mr. and Mrs. Jones must not discuss serious issues until they can do so without yelling at each other.
Correct Answer: B
Rationale: The correct answer is B because a paradoxical intervention involves prescribing the symptom or issue that the client is struggling with. In this case, the Jones family is experiencing frequent yelling matches when they disagree. By prescribing a specific time for them to yell at each other, the nurse is challenging the dysfunctional pattern and creating an opportunity for them to confront and potentially change their behavior.
Choice A is incorrect because it simply avoids the issue without addressing the underlying problem. Choice C is incorrect as it also avoids the issue by postponing the yelling until the counseling session. Choice D is incorrect because it suggests avoiding serious discussions altogether, which doesn't address the root cause of the conflict.
Which statement made by a nurse who manages care for a number of culturally diverse Hispanic clients demonstrates an understanding of the challenges this assignment presents?
- A. I find the Hispanic language very difficult to master.'
- B. There are many differences between Hispanic subcultures.'
- C. Addressing the Hispanic culture's religious needs can be challenging.'
- D. I find Hispanic children to be very dependent upon their elders.'
Correct Answer: B
Rationale: The correct answer is B: "There are many differences between Hispanic subcultures." This answer demonstrates an understanding of the complexity and diversity within the Hispanic community, emphasizing that there is not a monolithic Hispanic culture but rather various subcultures with distinct customs, traditions, and beliefs. Understanding these differences is crucial for providing culturally competent care.
Rationale:
1. Option A focuses on language proficiency, not cultural diversity.
2. Option C mentions religious needs but does not address the broader complexity of Hispanic culture.
3. Option D makes a generalization about Hispanic children, not addressing the diversity within Hispanic communities.
In summary, the correct answer acknowledges and respects the diverse nature of Hispanic subcultures, highlighting the importance of recognizing and understanding these differences to provide effective care.