Nokea
Sudden temporary amnesia or instances of multiple personality are disorders
- A. dissociative
- B. anxiety
- C. psychotic
- D. schizophrenic
Correct Answer: A
Rationale: Dissociative disorders include amnesia and multiple personalities, linked to identity disruption.
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Which of these nursing communications would be most effective in teaching a patient about abusive behavior?
- A. So when your husband says he needs other women because you aren't sexually satisfying his needs, do you believe what he is telling you is true?'
- B. You say that your son has been pulling the neighbor's pigtails and you are worried he's becoming violent and abusive like your brother?'
- C. You say that you placed your son on an allowance but that you also want to regulate everything he spends and saves?'
- D. I noticed that when your mother paid you a compliment about your new hairstyle, you seemed skeptical.'
Correct Answer: A
Rationale: The correct answer is A because it directly addresses the issue of abusive behavior in a clear and non-judgmental manner. By framing the question around a specific scenario of abusive behavior and asking for the patient's perspective, it encourages self-reflection and critical thinking. This approach empowers the patient to recognize and acknowledge the abusive behavior, which is crucial for initiating change.
Choices B, C, and D are incorrect because they do not specifically address abusive behavior. Choice B focuses on a different type of behavior (childhood aggression), Choice C addresses financial control rather than abuse, and Choice D discusses skepticism in response to a compliment, which is unrelated to abusive behavior. These choices do not effectively target the issue at hand and may lead to confusion or misinterpretation.
The single most common symptom of autism is:
- A. Inability to grasp reality
- B. Impaired social interaction
- C. Acting out behaviors
- D. Diminished affect
Correct Answer: B
Rationale: Though all of these behaviors may occur at some time in autism, impaired social interaction is the overriding symptom that occurs in this disorder.
Which beliefs by a nurse facilitate provision of safe, effective care for older adult patients? Select one tha does not apply.
- A. Sexual interest declines with aging.
- B. Older adults are able to learn new tasks.
- C. Aging results in a decline in restorative sleep.
- D. Older adults are prone to become crime victims.
Correct Answer: A
Rationale: Older adults can learn new tasks (B), experience a decline in restorative sleep (C), and are prone to crime (D), aiding effective care. Sexual interest doesn't universally decline (A), and isolation isn't typical (E); these are myths.
At what age do the synaptic connections in human brain peak?
- A. At birth
- B. End of 3 years
- C. 5 years
- D. 8 years
Correct Answer: B
Rationale: Synaptic connections peak around the end of 3 years (B), a period of rapid synaptogenesis and neural plasticity, followed by pruning. At birth (A), development begins, while 5 (C) and 8 years (D) see continued growth but past the peak, per neurodevelopmental research.
The nurse is considering making a child abuse or neglect report to protective services. To make the report, the nurse needs to:
- A. Obtain the supervisor's permission to make the report
- B. Have strong evidence that the abuse/neglect has occurred
- C. Notify the parents of the intent to file the report
- D. Have suspicions that the abuse has occurred
Correct Answer: D
Rationale: The correct answer is D because mandatory reporting laws typically require healthcare professionals to report suspected cases of child abuse or neglect. Having suspicions that abuse has occurred is sufficient to make a report, as it is the responsibility of the healthcare provider to protect the child's safety. Obtaining the supervisor's permission (choice A) may delay the report unnecessarily. Having strong evidence (choice B) is not necessary for making a report, as suspicions should be reported for further investigation. Notifying the parents (choice C) may jeopardize the safety of the child if the abuser is aware of the report.