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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.
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Joe, a Native American, goes to the emergency department (ED) because he has an oozing stasis ulcer on his leg. He is accompanied by the tribal shaman, who has been treating Joe on the reservation. As greeting, the physician extends his hand to the shaman, who lightly touches the physician's hand, then quickly moves away. How should the physician interpret this gesture?
- A. The shaman is snubbing the physician.
- B. The shaman is angry at Joe for wanting to go to the ED.
- C. The shaman does not believe in traditional medicine.
- D. The shaman does not feel comfortable with touch.
Correct Answer: D
Rationale: The shaman's brief touch and quick withdrawal likely reflect cultural discomfort or unfamiliarity with physical touch, common in some Native American cultures, aligning with option d.
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.
The nurse demonstrates an understanding of the importance of assessment in prevention of mental illness when:
- A. Observing the partner of a pregnant woman for evidence of effective support and caring.
- B. Educating the family of a client diagnosed with depression as to the signs of suicide planning.
- C. Encouraging the parents of a teenager diagnosed with anorexia to attend family counseling.
- D. Assessing the problem-solving skills of a client diagnosed with obsessive-compulsive disorder.
Correct Answer: A
Rationale: The correct answer is A because observing the partner of a pregnant woman for effective support and caring is important in preventing mental illness by promoting a supportive environment. This assessment can help identify potential risk factors or stressors that may contribute to the development of mental health issues. In contrast, options B, C, and D focus on interventions after the mental illness has already been diagnosed, rather than prevention through early assessment. B addresses managing a diagnosed condition, C focuses on treatment through counseling, and D involves evaluating specific symptoms rather than holistic support. Thus, A is the most appropriate choice for prevention through early assessment.
The Montessori approach believes materials should be
- A. Teacher-provided
- B. Child-selected
- C. Standardized
- D. Simple
Correct Answer: B
Rationale: Montessori materials are child-selected to encourage autonomy.
Which is not a technique of SFT?
- A. Joining the family
- B. Blocking inflexible patterns
- C. Heighten conflictual interaction
- D. Balancing inflexible patterns of interaction
Correct Answer: D
Rationale: Balancing isn't a specific SFT technique; the others are standard.