Nokea
Select the most appropriate outcome for a patient completing the fourth alcohol detoxification program in 1 year. Before discharge, the patient will
- A. use rationalization in healthy ways.
- B. state, 'I see the need for ongoing treatment.'
- C. identify constructive outlets for expression of anger.
- D. develop a trusting relationship with one staff member.
Correct Answer: B
Rationale: The correct answer is B because stating 'I see the need for ongoing treatment' demonstrates insight and willingness to engage in further treatment, indicating a readiness for change. This is crucial for someone who has completed multiple detox programs in a short period. Choice A (using rationalization in healthy ways) may not address the underlying issues leading to repeated detox programs. Choice C (identifying constructive outlets for expression of anger) is important but not the most urgent concern after detox. Choice D (developing a trusting relationship with one staff member) is beneficial but does not address the need for ongoing treatment.
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Which statement made by a family member of an individual recently diagnosed with schizophrenia supports the nurse's assessment that the family will respond well to care strategies that support the competence model of care?
- A. How long will it be before he will need to be cared for by others?'
- B. Is his illness chronic or does he have a chance of getting well again?'
- C. My mother will be devastated to hear that my brother is mentally ill.'
- D. Our brother is family and we will be there to support him in every way we can.'
Correct Answer: D
Rationale: The correct answer is D because it demonstrates a supportive and inclusive attitude towards the individual with schizophrenia. By stating, "Our brother is family and we will be there to support him in every way we can," the family member acknowledges the importance of familial support and unity in the care of their loved one. This aligns with the competence model of care, which emphasizes empowerment, collaboration, and the importance of relationships in supporting individuals with mental health conditions.
A, B, and C are incorrect because they focus on negative aspects of the diagnosis, such as dependency, chronicity, and potential devastation, which do not reflect the positive and supportive approach needed for effective care strategies based on the competence model.
Frobel's educational philosophy was based on
- A. Culture
- B. Religion
- C. Values
- D. Beliefs
Correct Answer: C
Rationale: Froebel's philosophy centered on values like unity and natural growth.
Which basic activity of daily living assistive device can be useful for the client who is affected with poor fine motor coordination?
- A. An aphasia aid
- B. A button hook
- C. Honey thickened liquids
- D. A word board
Correct Answer: B
Rationale: A button hook (B) aids fine motor tasks like dressing.
An 11-year-old reluctantly tells the nurse, My parents dont like me. They said they wish I was never born. Which type of abuse is likely?
- A. Sexual
- B. Physical
- C. Emotional
- D. Economic
Correct Answer: C
Rationale: Examples of emotional abuse include having an adult demean a childs worth, frequently criticize, or belittle the child. No data support physical battering or endangerment, sexual abuse, or economic abuse.
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.