Nokea
The psychosexual stage associated with exploration is
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: A
Rationale: The oral stage (birth-1 year) involves exploration through the mouth (Freud).
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The nurse is monitoring a patient with AIDS. Which manifestation should the nurse expect to observe in this patient?
- A. Diarrhea
- B. Chest pain
- C. Hypertension
- D. Pustular skin lesions
Correct Answer: A
Rationale: The correct answer is A: Diarrhea. Patients with AIDS commonly experience diarrhea due to opportunistic infections or medications. This can lead to dehydration and malnutrition. Choice B is incorrect because chest pain is not a typical manifestation of AIDS. Choice C is incorrect as hypertension is not a common symptom of AIDS. Choice D is incorrect as pustular skin lesions are not typically associated with AIDS. Monitoring for diarrhea is crucial to prevent complications in AIDS patients.
he Montessori approach believes that teachers should
- A. Control
- B. Observe
- C. Direct
- D. Instruct
Correct Answer: B
Rationale: Montessori teachers observe to guide learning, rather than control or direct it.
In order to best evaluate the achievement of goals of individual stress management group members, the nurse leading the group:
- A. Has each member at the last meeting write a short description of how the sessions helped him or her manage stress more effectively.
- B. Asks each member at each session to demonstrate a stress management technique he or she has learned while attending the sessions.
- C. Periodically asks the members to rate their ability to manage stress using the techniques learned in the group sessions on a Likert scale.
- D. Has each member's ability to manage stress evaluated by the group at the final session.
Correct Answer: C
Rationale: The correct answer is C because using a Likert scale to periodically ask group members to rate their ability to manage stress with the techniques learned provides quantitative data for evaluating progress. This method allows for tracking changes over time and identifying trends in stress management improvement.
A is incorrect because it relies on subjective self-reporting at the last meeting only, which may not capture ongoing progress. B is incorrect as it focuses on individual demonstrations at each session, which may not reflect overall stress management improvement. D is incorrect as it relies on group evaluation at the final session, which may not provide consistent and individualized feedback throughout the program.
Which of the following guidelines for the use of nonconventional modalities is correct?
- A. Health care providers should make every attempt to ascertain alternative therapy use during each visit
- B. All 'natural' products are generally safe
- C. Health care providers should support all alternative therapies
- D. When using alternative medicines, more is always better than less
Correct Answer: A
Rationale: Assessing use at each visit ensures safety and coordination with conventional care.
Currently, the mental health system in the United States focuses on managing client disabilities. It has been suggested that the focus be changed. Which nursing intervention demonstrates an attempt to work toward that recommended focus?
- A. Assessing the depressed client often for suicidal ideations
- B. Teaching stress management techniques to new mothers
- C. Sharing the client's wish that his medications be provided in liquid form if possible
- D. Discussing with the client when his follow-up mental health visit can be scheduled
Correct Answer: B
Rationale: The correct answer is B because teaching stress management techniques to new mothers promotes prevention and empowerment, aligning with the shift towards preventive mental health care. By educating mothers on managing stress, potential mental health issues can be addressed proactively.
Rationale for other choices:
A: Assessing for suicidal ideations is important for safety but focuses on managing existing disabilities rather than preventive care.
C: Accommodating a client's preference for liquid medications is client-centered care, but does not necessarily shift the focus towards prevention.
D: Scheduling a follow-up visit ensures continuity of care but does not address preventive measures.