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The parents of a 15-year-old seek to have this teen declared a delinquent because of excessive drinking, habitually running away, and prostitution. The nurse interviewing the patient should recognize these behaviors often occur in adolescents who:
- A. have been abused.
- B. are attention seeking.
- C. have eating disorders.
- D. are developmentally delayed.
Correct Answer: A
Rationale: Self-mutilation, alcohol and drug abuse, bulimia, and unstable and unsatisfactory relationships are frequently seen in teens who are abused. These behaviors are not as closely aligned with any of the other options.
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A terminally ill patient says, I know I'm not going to get well, but still and the patients voice trails off. Which response by the nurse would be therapeutic?
- A. What do you hope for?
- B. No, you're not going to get well.
- C. Do you have questions about what is happening?
- D. I'm happy you are being realistic about your future.
Correct Answer: A
Rationale: This open-ended response is an example of following the patients lead. It provides an opportunity for the patient to speak about whatever is on his or her mind. The incorrect options are not therapeutic; they block further communication, refocus the conversation, give advice, or suggest the nurse is uncomfortable with the topic.
In the WHO publication Promoting Mental Health: Concepts, Evidence, and Practice, X key messages were given. What is X?
- A. 5
- B. 6
- C. 7
- D. 8
Correct Answer: C
Rationale: The WHO publication outlines 7 key messages about promoting mental health, emphasizing its importance across various sectors and populations.
The child's ability to use symbols abstractly develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: B
Rationale: Abstract symbol use, like pretend play, begins in the preoperational stage (Piaget).
The Montessori approach believes learning should be
- A. Competitive
- B. Collaborative
- C. Individualized
- D. Standardized
Correct Answer: C
Rationale: Montessori learning is individualized, tailored to each child.
Which of the following statements is correct regarding family and friends' influence on a patient's medication choices?
- A. Family and friends tend to support the physician's medication recommendations
- B. Family and friends may offer medical advice that contradicts the physician's advice
- C. Family and friends rarely influence a patient's medication choices
- D. It is difficult to quantify how family and friends influence a patient's medication choices
Correct Answer: B
Rationale: Family and friends can sway patients with conflicting advice, impacting adherence.