Survey research is cross-sectional and therefore:
- A. High in replicability but low in internal validity
- B. High in internal validity but low in reliability
- C. High in ecological validity but low in external validity
- D. None of them
Correct Answer: A
Rationale: Surveys (cross-sectional) are replicable but lack internal validity due to correlation, not causation.
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Suspicion of which of the following behaviors may affect pain management plans, especially for patients with sickle cell disease?
- A. Spousal abuse
- B. Heavy smoking
- C. Recreational drug abuse
- D. Narcotic dependence
Correct Answer: D
Rationale: Narcotic dependence concerns may lead to underprescribing pain relief.
If there's substance abuse in a Level 1 family,
- A. It should be considered alongside other issues
- B. Use the principle of mimesis and suggest talking over a drink
- C. It should be considered the primary focus of intervention
- D. A stay in residential rehab should be recommended
Correct Answer: A
Rationale: Substance abuse is one of many pressing issues in Level 1 families, requiring a holistic approach.
Bandura (2006) outlined that self-efficacy varies in:
- A. Organisation, expectation and outcome
- B. Organisation, expectation and execution
- C. Orientation, organisation and strength
- D. Level, generality and strength
Correct Answer: D
Rationale: Bandura (2006) described self-efficacy varying in level, generality, and strength.
Which information is the nurse most likely to find when assessing the family of a patient with a serious mental illness?
- A. The family exhibits many characteristics of dysfunctional families.
- B. Several family members have serious problems with their physical health.
- C. Power in the family is maintained in the parental dyad and rarely delegated.
- D. Stress from living with a mentally ill member has challenged the familys function.
Correct Answer: D
Rationale: The information almost universally obtained is that the family is under stress associated with having a mentally ill member. This stress lowers the familys level of functioning in at least one significant way. Stress does not necessarily mean the family has become dysfunctional.
You are caring for a multiple trauma client who has just arrived at the emergency room with a number of other external disaster victims. This client has multiple blast injuries and hypovolemic shock; it is anticipated that this unstable critically injured and unconscious client will have long term intravenous therapy, blood products and possibly hyperalimentation as well. Which type of venous access would you most likely anticipate for this client?
- A. A percutaneous, non tunneled subclavian catheter
- B. A peripheral intravenous catheter that is 20 gauge
- C. A multi lumen implanted tunneled and cuffed central venous catheter
- D. A peripherally inserted central venous catheter
Correct Answer: C
Rationale: A tunneled multi-lumen catheter (C) suits long-term critical needs.