The nuclear family means
- A. Two generation unit of parents and their children
- B. A group of people sharing living accommodation and meals
- C. Network of relatives extended with or between generations
- D. The new family created when an adult leaves home and gets married
Correct Answer: A
Rationale: The nuclear family is parents and children, a two-generation unit.
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The Tuskegee Syphilis Study has had which of the following effects on the African American community?
- A. Greater suspicion and reluctance about participating in research studies
- B. Less use of complementary or alternative medical treatments
- C. Greater compliance with prescription medications
- D. Increased testing for syphilis and other sexually transmitted diseases
Correct Answer: A
Rationale: Tuskegee fostered deep mistrust in medical research among African Americans.
When working with a patient beginning treatment for alcohol dependence, what is the nurse’s most therapeutic approach?
- A. Empathetic, supportive
- B. Strong, confrontational
- C. Skeptical, guarded
- D. Cool, distant
Correct Answer: A
Rationale: The correct answer is A: Empathetic, supportive. This approach establishes trust, shows understanding, and promotes open communication. Empathy helps build a therapeutic relationship, which is crucial in treating alcohol dependence. Being supportive encourages the patient to feel safe and willing to discuss their issues. Strong, confrontational (B) may lead to resistance and defensiveness. Skeptical, guarded (C) can create barriers and hinder progress. Cool, distant (D) may make the patient feel isolated and unsupported. Overall, empathy and support create a positive and collaborative therapeutic environment.
A nursing intervention for the initial phase of grief should focus on:
- A. Ignoring the patient until your presence is requested.
- B. Staying available to provide support when the person demonstrates distress.
- C. Insisting the person face reality of the loss.
- D. Organizing a support group to provide a support system.
Correct Answer: B
Rationale: The initial phase of grief is denial. The individual may have difficulty facing the scope of the loss initially, so being available to support him or her when the emotions come is important.
Which of the following is the best way to defuse cultural misunderstandings that serve as obstacles in cross-cultural care?
- A. Reinforce personal authority in the doctor-patient relationship
- B. Advocate changes in current medical school curriculum
- C. Avoid serving patients from particular backgrounds
- D. Maintain open and honest communication with patients
Correct Answer: D
Rationale: Open communication resolves misunderstandings and builds trust.
Of the 11 topics of priority conditions selected in the Mental Health Gap Action Programme Intervention Guide (mhGAP-IG), which one topic from the following list is included?
- A. Anxiety neurosis.
- B. Epilepsy.
- C. Obsessive compulsive disorder.
- D. Post-traumatic stress disorder.
Correct Answer: B
Rationale: Epilepsy is a priority condition in mhGAP-IG due to its prevalence and impact.
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