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The nurse best assures that a psychiatric client's rights are respected and preserved by:
- A. Educating each client as to his or her legally protected rights.
- B. Being knowledgeable of the state laws that regulate client rights.
- C. Participating as a member of the client's multidisciplinary health care team.
- D. Referring all issues of a legal nature to the appropriate facility committee.
Correct Answer: B
Rationale: The correct answer is B because being knowledgeable of state laws regulating client rights enables the nurse to advocate effectively. By understanding the legal framework, the nurse can ensure the client's rights are upheld. Choice A may not cover all legal aspects, choice C focuses on healthcare teamwork, and choice D may delay addressing legal issues promptly. Being well-versed in state laws is crucial for protecting client rights.
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The nurse has been discussing actions to prevent AIDS-related wasting syndrome with a patient being treated for AIDS. Which patient statements indicate an understanding of this teaching? (Select all that apply.)
- A. Eat a low-residue diet.
- B. Drink liquids before meals.
- C. Enjoy food odors to stimulate appetite.
- D. Numb painful oral sores with ice or popsicles.
Correct Answer: A
Rationale: The correct answer is A: Eat a low-residue diet. This is because AIDS-related wasting syndrome can lead to malabsorption issues and gastrointestinal symptoms, making it difficult for the body to absorb nutrients from food. A low-residue diet is recommended to reduce the amount of fiber and bulk in the diet, making it easier for the body to digest and absorb nutrients. Choices B, C, and D are incorrect as they do not specifically address the nutritional needs of a patient with AIDS-related wasting syndrome. Drinking liquids before meals may help with appetite but does not address nutrient absorption. Enjoying food odors may stimulate appetite but does not focus on nutrient intake. Numbing oral sores with ice or popsicles addresses symptom management but does not address the underlying issue of nutrient absorption.
Describe the focus and issues typical of Level 3 families.
- A. Basic survival and safety concerns
- B. Relational conflicts like marital issues
- C. Identity, intimacy, and self-esteem
- D. Philosophical and existential questions
Correct Answer: C
Rationale: Level 3 families focus on personal growth and individuation, with issues like identity and intimacy, requiring introspective interventions rather than survival or relational fixes.
It has been estimated that 20%, or 45 million, adults ages 18 or older in the United States have experienced a mental illness in the past year. Which nursing intervention is directed toward addressing the greatest barrier to successful treatment outcomes for these individuals?
- A. Educating clients as to the importance of completing their treatment recommendations
- B. Identifying resources where medications can be secured at reduced or no cost
- C. Actively involving the client in the planning of his or her mental health care
- D. Evaluating the client for compliance with his or her plan of care frequently
Correct Answer: A
Rationale: The correct answer is A: Educating clients as to the importance of completing their treatment recommendations. This intervention is crucial because lack of understanding about the importance of completing treatment can lead to non-compliance, which is a significant barrier to successful treatment outcomes. By educating clients, nurses can empower them to take ownership of their health and adhere to their treatment plans.
Choice B is incorrect because while identifying resources for medications is important, it may not address the underlying issue of non-compliance. Choice C, involving the client in planning care, is important but may not directly address non-compliance. Choice D, evaluating compliance frequently, is necessary but does not address the root cause of non-compliance. Therefore, the most effective intervention is to educate clients about the importance of completing their treatment recommendations.
he theorist who believes that human nature is positive is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: B
Rationale: Carl Rogers' humanistic approach views human nature as inherently positive, with a drive toward growth.
Using the strategic approach with a family in therapy, the therapist would:
- A. Try to change family principles that may be promoting dysfunctional behavior patterns.
- B. Strive to create change in destructive behavior through improvement in communication and interaction patterns.
- C. Encourage increase in the differentiation of individual family members.
- D. Promote change in dysfunctional behavior by encouraging the formation of more diffuse boundaries between family members.
Correct Answer: A
Rationale: The correct answer is A because in the strategic approach, therapists focus on changing the underlying principles within the family system that contribute to dysfunctional behavior patterns. By addressing these core beliefs and principles, therapists aim to create lasting change in the family dynamics.
Incorrect choices:
B: While improving communication and interaction patterns is important in family therapy, it is not the primary focus of the strategic approach.
C: Increasing the differentiation of individual family members is more aligned with structural family therapy, not the strategic approach.
D: Promoting more diffuse boundaries between family members may lead to further dysfunction rather than resolving it in the strategic approach.