Nokea
The child's ability to plan ahead develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: D
Rationale: Planning ahead requires abstract thinking, which develops in the formal operational stage (Piaget).
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The best way to objectively evaluate the effectiveness of an individual staff member's time management skills in a longitudinal manner is to:
- A. Observe the staff member during an entire shift of duty to determine whether or not the nurse has accurately and appropriately established priorities.
- B. Observe the staff member during an entire shift of duty to determine whether or not the nurse has accurately and appropriately completed priority tasks.
- C. Ask the staff member how they feel like they have been able to employ their time management skills for the last six months.
- D. Collect outcome data over time and then aggregate and analyze this data to determine whether or not the staff member has completed reasonable assignments in the allotted time before the end of their shift of duty.
Correct Answer: D
Rationale: Longitudinal evaluation requires data collection and analysis over time.
The children of parents are immature and self-reliant
- A. Authoritarian
- B. Democratic
- C. Permissive
- D. Authoritative
Correct Answer: C
Rationale: Permissive parenting leads to immature yet self-reliant children.
A patient is admitted in a comatose state after ingesting 30 capsules of pentobarbital sodium. A friend of the patient says, 'Often my friend drinks, along with taking more of the drug than is ordered.' What is the effect of the use of alcohol with this drug?
- A. The drug’s metabolism is stimulated.
- B. The drug’s effect is diminished.
- C. A synergistic effect occurs.
- D. There is no effect.
Correct Answer: C
Rationale: The correct answer is C: A synergistic effect occurs. When alcohol is consumed with pentobarbital sodium, both substances depress the central nervous system. This results in an enhanced sedative effect, leading to respiratory depression, coma, and potentially death. The combined effect of the two substances is greater than the sum of their individual effects. Choices A and B are incorrect as alcohol does not stimulate the metabolism of pentobarbital sodium nor diminish its effect. Choice D is also incorrect as there is a significant effect when alcohol is combined with this drug.
A nurse cared for a terminally ill patient for over a month and always looked forward to spending time with the patient. When the patient died, the nurse experienced sadness and felt mildly depressed. Eventually, the nurse explains these feelings to a mentor. The mentor should counsel the nurse:
- A. about stress-reduction strategies.
- B. to seek therapy for dysfunctional grief.
- C. about the experience of disenfranchised grief.
- D. to consider taking a leave of absence to pursue healing.
Correct Answer: C
Rationale: The nurse is experiencing disenfranchised grief. Nurses often incur loss that is not openly acknowledged or publicly mourned. The loss of a patient may not be recognized or acknowledged by others; therefore the grief is solitary and uncomforted and may be difficult to resolve.
How should physicians respond to working professionals, in comparison to unemployed or low-income patients?
- A. Physicians should be more flexible with scheduling low-income patients
- B. Patients from professional occupations should be afforded greater respect
- C. Physicians should promote patients' health regardless of their socioeconomic status
- D. Physicians should fulfill the requests of other working professionals without hesitation
Correct Answer: C
Rationale: Equal treatment promotes health equity, ensuring care is based on need, not socioeconomic status.