Nokea
The child's ability to understand logical relationships develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Logical relationships, like classification, develop in the concrete operational stage (Piaget).
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A teenager who has a history of alcohol abuse wants to host a holiday party at his home. In order to best implement family-based measures to prevent the use of alcohol or drugs the parents will:
- A. Refuse to allow the teenager to host the party.
- B. Insist upon being home and visible to the guests during the party.
- C. Allow the party only if it is held at a public space such as a church recreation room.
- D. Have all those attending sign a contract promising not to drink or use drugs during the party.
Correct Answer: B
Rationale: The correct answer is B because by insisting on being home and visible during the party, the parents can actively supervise and monitor the activities, deterring any alcohol or drug use. They can intervene promptly if any issues arise.
A: Refusing to allow the teenager to host the party may lead to rebellion and secretive behavior.
C: Allowing the party in a public space does not guarantee supervision or control over alcohol/drug use.
D: Having attendees sign a contract relies solely on their compliance without active supervision or monitoring.
Which nursing activity is a direct result of the Community Mental Health Centers Act of 1963?
- A. Being a member of a client's multidisciplinary treatment team
- B. Performing an extensive admissions assessment for each hospitalized client
- C. Using physical restraints as only the last resort when client safety requires it
- D. Educating a client on the role of neurotransmitters in chronic depression
Correct Answer: A
Rationale: The correct answer is A because the Community Mental Health Centers Act of 1963 emphasized a multidisciplinary approach to mental health care, requiring nurses to be part of a client's treatment team. This legislation aimed to provide comprehensive community-based mental health services, promoting collaboration among different professionals to address clients' needs holistically.
Choice B is incorrect because extensive admissions assessments were not a direct result of this act. Choice C is incorrect as the act did not specifically address the use of physical restraints. Choice D is incorrect because educating clients on neurotransmitters is not directly linked to the Community Mental Health Centers Act of 1963.
Children develop autonomy between:
- A. 0-1 year
- B. 1-3 years
- C. 3-5 years
- D. 5-7 years
Correct Answer: B
Rationale: Erikson's autonomy vs. shame/doubt stage (1-3 years) develops independence through mastery.
Parents of a teenager recently diagnosed with serious mental illness express dismay. One parent says, Our hopes for our childs future are ruined. We probably wont ever have grandchildren. The nurse will use interventions to assist with:
- A. denial.
- B. grieving.
- C. acting out.
- D. manipulation.
Correct Answer: B
Rationale: Grief is a common reaction to having a family member diagnosed with mental illness. The grief stems from actual or potential losses, such as the familys ability to function, financial well-being, and altered future. Data do not support choosing any of the other options.
Which of the following correctly identifies the role of the physician and the patient in making health care decisions?
- A. The physician is the ultimate authority in making decisions about a patient's health
- B. The physician and the patient must establish together who makes decisions about the patient's health
- C. The physician has little direct influence on the patient's personal health choices
- D. Although it is the physician's responsibility to instruct the patient about his or her condition, the physician must ultimately respect the patient's personal health choices
Correct Answer: D
Rationale: Shared decision-making balances physician expertise with patient autonomy.