Nokea
The Montessori approach believes that children learn best by
- A. Structured lessons
- B. Direct instructions
- C. Self-directed activities
- D. Group activities
Correct Answer: C
Rationale: Montessori emphasizes self-directed activities for optimal learning.
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The focus of generic crisis intervention is to:
- A. Introduce the nurse as a caring resource to those in crisis.
- B. Assist as many in-crisis individuals as quickly as possible.
- C. Remove the individual in crisis from immediate sources of stress.
- D. Serve as a liaison between the individual in crisis and needed services.
Correct Answer: B
Rationale: The correct answer is B because generic crisis intervention aims to assist as many individuals in crisis as quickly as possible to minimize harm and provide immediate support. This approach focuses on rapidly addressing the crisis and ensuring the safety and well-being of those involved. Introducing the nurse as a caring resource (A) may be part of the intervention process, but it is not the primary focus. Removing the individual from immediate sources of stress (C) may be necessary in some situations but is not always feasible or effective as the first step. Serving as a liaison between the individual and needed services (D) is important, but it is not the primary goal of generic crisis intervention, which prioritizes immediate assistance and support.
Self is an ongoing process that combines the 'I' and 'ME'. The 'I' refers to
- A. The image we have of how other people react to us
- B. The spontaneous force that fosters unpredictable behavior
- C. Both of these
- D. None of these
Correct Answer: B
Rationale: The 'I' (Mead) is the spontaneous, unscripted aspect of self.
Children develop a sense of initiative between:
- A. 0-1 year
- B. 1-3 years
- C. 3-5 years
- D. 5-7 years
Correct Answer: C
Rationale: Erikson's initiative vs. guilt stage (3-5 years) fosters a sense of purpose and initiative.
The most appropriate nursing intervention with Jenny (from question 5) would be to:
- A. Make arrangements for her to start attending Alateen meetings.
- B. Help her identify the positive things in her life and recognize that her situation could be a lot worse than it is.
- C. Teach her about the effects of alcohol on the body and that it can be hereditary.
- D. Refer her to a psychiatrist for private therapy to learn to deal with her home situation.
Correct Answer: A
Rationale: The correct answer is A because Alateen meetings provide support and understanding for teenagers living with family members struggling with alcoholism. Attending these meetings can help Jenny feel less alone, gain coping strategies, and build a support network with peers in similar situations.
Choice B is incorrect as it minimizes Jenny's struggles and may invalidate her feelings. Choice C focuses on the biological aspect of alcoholism, which may not address Jenny's emotional needs. Choice D involves a referral to a psychiatrist for private therapy, which may not provide the peer support and understanding that Alateen meetings can offer.
An older adult with Lewy body dementia lives with family. After observing multiple bruises, the home health nurse talked with the daughter, who became defensive and said, My mother often wanders at night. Last night she fell down the stairs. Which nursing diagnosis has priority?
- A. Risk for injury related to poor judgment, cognitive impairments, and inadequate supervision
- B. Wandering related to confusion and disorientation as evidenced by sleepwalking and falls
- C. Chronic confusion related to degenerative changes in brain tissue as evidenced by nighttime wandering
- D. Insomnia related to sleep disruptions associated with cognitive impairment as evidenced by wandering at night
Correct Answer: A
Rationale: The patient is at high risk for injury because of her confusion. The risk increases when caregivers are unable to give constant supervision. Insomnia, chronic confusion, and wandering apply to this patient; however, the risk for injury is a higher priority.