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Sarah is an African American woman who receives a visit from the psychiatric home health nurse. A referral for a mental health assessment was made by the public health nurse, who noticed that Sarah was becoming exceedingly withdrawn. When the psychiatric nurse arrives, Sarah says to her, 'No one can help me. I was an evil person in my youth, and now I must pay.' How might the nurse assess this statement?
- A. Sarah is having delusions of persecution.
- B. Some African Americans believe illness is God's punishment for their sins.
- C. Sarah is depressed and just wants to be left alone.
- D. African Americans do not believe in psychiatric help.
Correct Answer: B
Rationale: Sarah's statement about being an evil person in her youth and needing to pay suggests a cultural or spiritual belief that illness is a punishment for sins, common among some African Americans, aligning with option b.
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The current focus of performance improvement activities is to facilitate and address:
- A. Sound structures like policies and procedures
- B. Processes and how they are being done
- C. Optimal client outcomes
- D. Optimal staff performance
Correct Answer: C
Rationale: Performance improvement primarily aims at enhancing client outcomes.
Generalizing others' regarding this which of the following statements is true?
- A. There is no 'ME' at birth, it is formed through continual symbolic interaction
- B. The generalized other is really who we are
- C. The 'I' is more important than 'ME' in forming our sense of self
- D. Social expectations have a little impact on who we think we are
Correct Answer: A
Rationale: The 'ME' develops through social interaction (Mead).
A nurse can assist a patient and family in which aspects of substance abuse relapse prevention? Select all that apply.
- A. Rehearsing techniques to handle anticipated stressful situations
- B. Advising the patient to accept residential treatment if relapse occurs
- C. Assisting the patient to identify life skills needed for effective coping
- D. Isolating self from significant others and social situations until sobriety is established
Correct Answer: A
Rationale: The correct answer is A because rehearsing techniques to handle stressful situations is a crucial aspect of substance abuse relapse prevention. By practicing coping strategies, the patient can effectively navigate triggers and prevent relapse.
Choices B, C, and D are incorrect:
B: Advising residential treatment is not a proactive relapse prevention strategy and does not empower the patient to manage triggers independently.
C: Identifying life skills is important, but alone it may not directly address relapse prevention techniques.
D: Isolating from support systems contradicts the importance of social support in recovery and may lead to feelings of loneliness and vulnerability, increasing the risk of relapse.
he Montessori approach believes that teachers should
- A. Control
- B. Observe
- C. Direct
- D. Instruct
Correct Answer: B
Rationale: Montessori teachers observe to guide learning, rather than control or direct it.
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.