Nokea
The most common framework for examining the 'how' of group formation was developed by Bruce Tuckman in the
- A. 1960s
- B. 1970s
- C. 1980s
- D. 1990s
Correct Answer: A
Rationale: Tuckman introduced his group development model in 1965, refined in the 1970s.
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The family of a patient with AIDS has been instructed on patient manifestations to report to the health care provider (HCP). Which manifestation should be reported indicating that teaching has been effective?
- A. Fever
- B. Dry mouth
- C. Night sweats
- D. Constipation
Correct Answer: C
Rationale: The correct answer is C: Night sweats. Night sweats are a common symptom of advanced HIV/AIDS, indicating a weakened immune system. Reporting this symptom is crucial for monitoring disease progression and adjusting treatment. Fever (A) is common in many conditions, dry mouth (B) is not specific to AIDS, and constipation (D) is not a typical manifestation of AIDS. Reporting night sweats shows understanding of the disease process and the importance of monitoring symptoms in AIDS patients.
During an initial assessment interview, the client reports using an herbal product to help manage his depression after his recent heart attack. The nurse demonstrates an understanding of the greatest risk of injury these circumstances pose to the client when asking:
- A. Are you aware that quality control measures are often lacking in the packaging of herbals?'
- B. Have you been having any difficulty stopping bleeding from cuts or bruises?'
- C. Who suggested that you use herbal remedies to treat your depression?'
- D. Did you ever experience depression prior to your heart attack?'
Correct Answer: B
Rationale: Rationale for Correct Answer (B):
- The correct answer is B because the greatest risk of injury in this scenario is potential bleeding complications due to the use of herbal products.
- Herbal products can interact with medications, including anticoagulants, increasing the risk of bleeding.
- Asking about difficulty stopping bleeding helps assess for potential adverse effects of the herbal product on clotting factors.
- This question directly addresses a specific risk associated with herbal product use in the context of a recent heart attack.
Summary of Incorrect Choices:
- Choice A is incorrect because while quality control issues may be a concern with herbal products, it is not the most immediate risk in this case.
- Choice C is incorrect as it focuses on the source of the recommendation rather than the client's health risks.
- Choice D is incorrect as it does not address the potential physical harm related to herbal product use after a heart attack.
the problems of sexuality and sexual functioning, the term gender identity refers to
- A. Sexual urges or fantasies
- B. Individual is dissatisfied with their own biological sex
- C. Problem with sexual fantasies
- D. Problem with normal sexual response cycle
Correct Answer: B
Rationale: Gender identity is one's internal sense of gender, which may conflict with biological sex.
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.
A client's history documents that there have been examples of indirect self-destructive behavior. Which nursing assessment data supports this diagnosis?
- A. Client has attempted suicide on three other occasions.
- B. Reports of abusing alcohol since the age of 16.
- C. Client experiences episodes of hypoglycemia on a regular basis.
- D. While acknowledging suicidal thoughts, the client denies any plan.
Correct Answer: B
Rationale: The correct answer is B because reports of abusing alcohol since the age of 16 indicate a pattern of indirect self-destructive behavior. This behavior can lead to physical harm and other negative consequences. Option A directly mentions suicide attempts, not indirect behavior. Option C is unrelated to self-destructive behavior. Option D, while acknowledging suicidal thoughts, does not demonstrate a pattern of indirect self-destructive behavior like long-term alcohol abuse.