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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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A new patient in an alcoholism rehabilitation program says, 'I’m just a social drinker. I usually have a drink or two at brunch, a few cocktails in the afternoon, wine at dinner, and a few drinks in the evening.' Which response by the nurse will help the patient view the drinking more honestly?
- A. I see,' and use interested silence.
- B. I think you may be drinking more than you report.'
- C. Being a social drinker involves having a drink or two once or twice a week.'
- D. You describe drinking steadily throughout the day and evening. Am I correct?'
Correct Answer: D
Rationale: Step 1: The nurse needs to provide a reflection that highlights the patient's patterns of drinking.
Step 2: Option D reflects the patient's drinking pattern accurately and objectively.
Step 3: By repeating the patient's own words back to them, the nurse helps the patient see the extent of their drinking.
Step 4: This response encourages the patient to reflect on their alcohol consumption more honestly.
Step 5: Option D is correct as it addresses the patient's behavior directly and prompts self-reflection.
Summary:
- Option A is passive and does not challenge the patient's perception.
- Option B is confrontational and may lead to defensiveness.
- Option C provides a generalized definition of social drinking, not addressing the patient's specific behavior.
A hypothesis which defines the population distribution is called:
- A. Null Hypothesis
- B. Statistical Hypothesis
- C. Simple Hypothesis
- D. Composite Hypothesis
Correct Answer: C
Rationale: A simple hypothesis specifies a single population distribution value.
After taking the medical history of a patient, which of the following approaches would be most effective in eliciting the need to address personal health issues?
- A. Warn the patient of long-term consequences
- B. Implement a plan of action immediately
- C. Share opinions about the patient's ability to problem solve
- D. Consult family members in the decision-making process
Correct Answer: C
Rationale: Sharing opinions invites patient reflection and engagement.
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.
Which of the following abilities is promoted through the use of trained medical interpreters?
- A. Ability to have 'small talk' with patients
- B. Ability to diagnose psychosocial disorders
- C. Ability to address adherence issues
- D. Ability to educate patients about their medications
Correct Answer: C
Rationale: Interpreters clarify instructions, directly aiding adherence discussions.