Nokea
The child's ability to understand cause and effect develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: A
Rationale: Cause-and-effect understanding begins in the sensorimotor stage through actions (Piaget).
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A parent is admitted to a chemical dependency treatment unit. The patients spouse and adolescent children attend a family session. Which initial assessment question should the nurse ask of family members?
- A. What changes are most important to you?
- B. How are feelings expressed in your family?
- C. What types of family education would benefit your family?
- D. Can you identify a long-term goal for improved functioning?
Correct Answer: B
Rationale: It is important to understand family characteristics, particularly in a family under stress. Expression of feelings is an important aspect of assessment of the familys function (or dysfunction). The distracters relate more to outcome identification and planning interventions, both of which should be delayed until the assessment is complete.
Gendered messages are most likely to be found
- A. In the media
- B. In government programs
- C. Among peers
- D. In toy stores
Correct Answer: A
Rationale: Media is a primary source of gendered messages shaping perceptions.
A home visiting psychiatric program focuses on pregnant women who have been diagnosed with depression. The success of the intervention is best demonstrated by a client's:
- A. Ability to manage her gestational diabetes well through diet and exercise.
- B. Statement, 'It's nice to think that I will have a baby of my very own.'
- C. Willingness to take her antidepressant medications as prescribed.
- D. Regular attendance at a series of birthing preparation classes.
Correct Answer: D
Rationale: The correct answer is D because regular attendance at birthing preparation classes directly reflects engagement with the psychiatric program designed for pregnant women with depression. Attending these classes demonstrates the client's commitment to seeking support and education for her mental health and pregnancy. It also indicates active participation in a structured intervention aimed at improving overall well-being. Choices A, B, and C are incorrect because they do not directly measure the success of the psychiatric program in addressing the client's depression during pregnancy. Choice A focuses on physical health, choice B reflects emotional sentiment, and choice C pertains to medication adherence, which are important but not direct indicators of the intervention's success in treating depression during pregnancy.
What is the ethical principle of 'Beneficence' obligation?
- A. Doctor-patient discussions are privileged and confidential
- B. Physicians should tell the truth
- C. Physicians should act in the best interest of the patient
- D. Patients have the right to make their own decisions
Correct Answer: C
Rationale: Beneficence mandates acting in the patient's best interest.
Which of the following roles does a case manager not perform?
- A. Counselor - a client focussed enabler and educator
- B. Advisor - providing the client with advice from previous experience
- C. Coordinator - Matching a client with services, brokering
- D. Advocacy - Focus on mediating and organizing a client's service system
Correct Answer: B
Rationale: Advising from personal experience is less typical; case managers focus on systemic roles.