Nokea
Self is an ongoing process that combines the 'I' and 'ME'. The 'ME' refers to
- A. None of these
- B. All of these are correct
- C. The image we have of how other people react to us
- D. The spontaneous force that fosters unpredictable behavior
Correct Answer: C
Rationale: The 'ME' (Mead) is the social self, shaped by others' perceptions.
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A nurse interviews a homeless parent with two teenage children. To best assess the familys use of resources, the nurse should ask:
- A. Can you describe a problem your family has successfully resolved?
- B. What community agencies have you found helpful in the past?
- C. What aspect of being homeless is most frightening for you?
- D. Do you feel you have adequate resources to survive?
Correct Answer: B
Rationale: The correct option asks about use of resources in an open, direct fashion. It will give information about choices the family has made regarding use of resources in the community. The other questions do not address prior use of resources or focus on other aspects of coping.
Which of the following best describes a social gambler?
- A. Someone who gambles for the heightened thrill and needs higher bets to achieve the same feeling.
- B. Gambles for fun during new year gatherings.
- C. Believes gambling is a way to make money, similar to financial investment.
- D. Steals money to feed the gambling habit.
Correct Answer: B
Rationale: Social gambling is casual, recreational, and often tied to social events like New Year gatherings, without significant negative consequences.
Which of the following methods is most effective when getting a consensus among family members of a patient who lacks decisionmaking capacity?
- A. Remove oneself from the room and allow the family to discuss among themselves
- B. Tactfully argue for the most effective procedure
- C. Use active listening to query about decision-making processes, expectations, and understanding of the patient's illness
- D. Ask the most senior member of the family to make the final decision
Correct Answer: C
Rationale: Active listening facilitates consensus by understanding family dynamics.
Describe how you would go about building a case plan as a case manager.
- A. Assess needs, set goals, identify resources, monitor
- B. Dictate goals, enforce rules, evaluate compliance
- C. Focus only on individual issues, ignore family
- D. Refer out all tasks to specialists
Correct Answer: A
Rationale: Building a case plan involves collaborative assessment, goal-setting, resource linkage, and progress tracking.
An older adult with Alzheimers disease lives with family in a rural area. During the week, the person attends a day care center while the family is at work. In the evenings, members of the family provide care. Which factor makes this patient most vulnerable to abuse?
- A. Multiple caregivers
- B. Alzheimers disease
- C. Living in a rural area
- D. Being part of a busy family
Correct Answer: B
Rationale: Older adults are at high risk for violence, particularly those with cognitive impairments. The other characteristics are not identified as placing an individual at high risk.