Nokea
The therapeutic alliance exists on which three levels?
- A. Short term, medium term and long term
- B. Individual, family and community
- C. Individual, subsystem and family
- D. N/A
Correct Answer: C
Rationale: The therapeutic alliance operates at individual, subsystem (e.g., parental), and whole-family levels, reflecting systemic engagement.
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The child's ability to think logically about concrete events develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Concrete operational stage (7-11 years) involves logical thinking about tangible events.
You are caring for a client at the end of life. The client tells you that they are grateful for having considered and decided upon some end of life decisions and the appointments of those who they wish to make decisions for them when they are no longer able to do so. During this discussion with the client and the client's wife, the client states that “my wife and I are legally married so I am so glad that she can automatically make all healthcare decisions on my behalf without a legal durable power of attorney when I am no longer able to do so myself†and the wife responds to this statement with, “that is not completely true. I can only make decisions for you and on your behalf when these decisions are not already documented on your advance directive.†How should you, as the nurse, respond to and address this conversation between the husband and wife and the end of life?
- A. You should respond to the couple by stating that only unanticipated treatments and procedures that are not included in the advance directive can be made by the legally appointed durable power of attorney for healthcare decisions.
- B. You should be aware of the fact that the wife of the client has a knowledge deficit relating to advance directives and durable powers of attorney for healthcare decisions and plan an educational activity to meet this learning need.
- C. You should be aware of the fact that the client has a knowledge deficit relating to advance directives and durable powers of attorney for healthcare decisions and plan an educational activity to meet this learning need.
- D. You should reinforce the wife's belief that legally married spouses automatically serve for the other spouse's durable power of attorney for health care decisions and that others than the spouse cannot be legally appointed while people are married
Correct Answer: B
Rationale: The wife demonstrates a knowledge deficit regarding advance directives and durable powers of attorney, necessitating education.
The child's ability to understand symbolism develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: B
Rationale: Symbolic thinking, like using symbols for objects, begins in the preoperational stage (Piaget).
How many characteristics of a good case study:
- A. 3
- B. 4
- C. 5
- D. 6
Correct Answer: D
Rationale: Good case studies have 6 traits: depth, validity, reliability, detail, uniqueness, and utility.
Cross cultural studies are an example of:
- A. Comparative design
- B. Case study design
- C. Experimental design
- D. Longitudinal design
Correct Answer: A
Rationale: Cross-cultural studies use comparative design to analyze differences across cultures.