Nokea
The nurse who works in a sleep clinic knows that approximately __________% of adults experience some form of sleep disorder.
- A. 10 to 20.
- B. 30 to 40.
- C. 50 to 60.
- D. None of the above.
Correct Answer: B
Rationale: The correct answer is B (30 to 40%). This range is supported by research indicating that around 30-40% of adults experience some form of sleep disorder. This percentage reflects the prevalence of various sleep disorders such as insomnia, sleep apnea, and restless leg syndrome among adults. The range of 10 to 20% (choice A) is too low based on current data. Likewise, the range of 50 to 60% (choice C) is too high and does not align with the established prevalence rates of sleep disorders in adults. "None of the above" (choice D) is incorrect as there is a documented prevalence of sleep disorders in adults, making it necessary to provide an estimate within a certain range.
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Many clients with eating disorders have difficulty translating their pain into words. Which approach may be used to promote getting in touch with feelings and greater self-disclosure?
- A. Personality inventory testing.
- B. Dance and movement therapy.
- C. Letter writing.
- D. Cooking and meal-planning classes.
Correct Answer: B
Rationale: The correct answer is B: Dance and movement therapy. This approach can help clients with eating disorders express emotions non-verbally, promoting self-awareness and self-disclosure. Movement therapy encourages embodied expression of feelings, facilitating a deeper connection to internal experiences. It allows clients to explore and release emotions through physical movement, aiding in the processing of emotional pain. Personality inventory testing (A) may not directly address emotional expression. Letter writing (C) can help, but may not be as effective as movement in promoting non-verbal expression. Cooking and meal-planning classes (D) focus on practical skills rather than emotional expression.
The nurse is answering questions from a client and his family regarding a recent diagnosis of Alzheimer's disease. The client asks how effective medication is in treating the disease. What is the nurse's best response?
- A. There is no cure or treatment for Alzheimer's disease.'
- B. Medications have shown little improvement in symptoms.'
- C. Medications for the disease have been found to improve thinking abilities, behavior, and daily functioning in some clients.'
- D. Alternative therapies, such as co-enzyme Q-10 and Ginkgo biloba, are more effective than any of the prescription medications used to treat the symptoms.'
Correct Answer: C
Rationale: The correct answer is C because medications for Alzheimer's disease, such as cholinesterase inhibitors and memantine, have been found to improve thinking abilities, behavior, and daily functioning in some clients. These medications can help manage symptoms and slow down the progression of the disease. Option A is incorrect because while there is no cure for Alzheimer's disease, there are treatments available. Option B is incorrect as medications have shown some efficacy in managing symptoms. Option D is incorrect as there is limited scientific evidence to support the effectiveness of alternative therapies compared to prescription medications for Alzheimer's disease.
After a person was abducted and raped at gunpoint by an unknown assailant, which trauma syndrome is most likely to occur?
- A. Decreased motor activity.
- B. Confusion and disbelief.
- C. Flashbacks and dreams.
- D. None of the above.
Correct Answer: B
Rationale: The correct answer is B: Confusion and disbelief. After experiencing a traumatic event like abduction and rape at gunpoint, it is common for individuals to feel confused and in disbelief due to the overwhelming nature of the experience. This reaction is part of the acute stress response and is a normal psychological defense mechanism. Decreased motor activity (choice A) is less likely to be the immediate response to such a traumatic event. Flashbacks and dreams (choice C) are more characteristic of post-traumatic stress disorder (PTSD), which may develop later on but are not the initial trauma syndrome. Choice D is incorrect as trauma responses are expected in this situation.
A client who was treated for anorexia nervosa is seen by the therapist for a follow-up visit 1 month after discharge from the hospital. Which statement indicates that the client has met the goal 'Demonstrate improvement in body image with more realistic view of body shape and size?'
- A. When I go shopping, I always select clothes that are several sizes too large for me.'
- B. My boyfriend says I really look good now that I'm out of the hospital.'
- C. I had my class picture taken, and I think it looks really good.'
- D. My mother bought me a whole new wardrobe since I've been home.'
Correct Answer: C
Rationale: The correct answer is C because the client's statement reflects a positive and self-affirming perception of themselves. By stating that they think their class picture looks really good, it shows an improvement in body image and a more realistic view of their body shape and size. This indicates progress towards the goal of developing a healthier self-perception.
Choice A is incorrect because selecting clothes that are several sizes too large may still indicate body image distortion and dissatisfaction. Choice B is incorrect because relying on external validation from a boyfriend does not necessarily reflect an internalized improvement in body image. Choice D is incorrect as the mother buying a new wardrobe does not directly address the client's perception of their body image or shape.
The subjective internal feeling of being either male of female is called
- A. Gender identity
- B. Sexuality
- C. Gender identity disorder
- D. Sexual orientation
Correct Answer: A
Rationale: Gender identity refers to one's internal sense of being male, female, or another gender, distinct from sexual orientation or physical traits.