Nokea
There appears to be a power struggle among the members of an outpatient therapeutic support group. Which event that occurred during a session demonstrates a need for the leader to intervene?
- A. Two members consistently engaged in debates that made voting on issues very difficult.
- B. A member abruptly left the group session when his proposal did not gain enough votes to pass.
- C. Three members monopolized the session debating what stress management technique is most helpful.
- D. The decision regarding the admission of late members had to be postponed since no agreement could be reached.
Correct Answer: A
Rationale: The correct answer is A. In this scenario, consistent debates hindering decision-making indicate a power struggle. The leader should intervene to facilitate productive discussions and maintain group cohesion. Choice B demonstrates individual frustration, not a group dynamic issue. Choice C shows members monopolizing, but not necessarily a power struggle. Choice D reflects a disagreement, but not a power struggle within the group. Therefore, Choice A is the most critical issue requiring intervention.
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Which of the following abilities is promoted through the use of trained medical interpreters?
- A. Ability to have 'small talk' with patients
- B. Ability to diagnose psychosocial disorders
- C. Ability to address adherence issues
- D. Ability to educate patients about their medications
Correct Answer: C
Rationale: Interpreters clarify instructions, directly aiding adherence discussions.
Which of the following is a common ethical challenge for family practitioners?
- A. Choosing to focus on the welfare of the individual or the family
- B. Avoiding upsetting the family system through disclosure of therapist faith
- C. Choosing which theoretical orientation to apply to an individual family
- D. N/A
Correct Answer: A
Rationale: Balancing individual vs. family welfare is a frequent ethical dilemma in systemic therapy.
The nurse demonstrates appropriate Asian-American cultural sensitivity when:
- A. Substituting the word 'sadness' for depression when participating at a health fair at a local Asian-American senior center.
- B. Anticipating that the Asian-American teenager is well educated concerning the dangers of tobacco and marijuana abuse.
- C. Being particularly interested in the older Asian-American's view regarding the role of alcohol in managing stress.
- D. Evaluating the critical thinking skills and short-term recall abilities of the Asian-American female over the age of 70.
Correct Answer: A
Rationale: The correct answer is A because using the term 'sadness' instead of 'depression' shows cultural sensitivity. In many Asian cultures, mental health terms like 'depression' can carry stigma and be taboo. By using a milder term like 'sadness,' the nurse acknowledges and respects the cultural nuances around mental health. This approach can help build trust and rapport with the Asian-American community.
Choices B, C, and D are incorrect because they do not directly address cultural sensitivity in the same way as choice A. Anticipating an Asian-American teenager's education level or focusing on an older person's views on alcohol and evaluating cognitive abilities do not demonstrate the same level of cultural sensitivity as being mindful of the language used when discussing mental health.
12,000 babies in the ----are born each year with a hearing loss:
- A. UK
- B. US
- C. Pak
- D. China
Correct Answer: B
Rationale: In the US, about 12,000 babies are born annually with hearing loss, per CDC data.
Which of the following patient care tasks is coupled with the appropriate member of the nursing care team in terms of their legal scope of practice?
- A. An unlicensed staff member who has been “certified†by the employing agency to monitor telemetry: Monitoring cardiac telemetry
- B. An unlicensed assistive staff member like a nursing assistant who has been “certified†by the employing agency to insert a urinary catheter: Inserting a urinary catheter
- C. A licensed practical nurse: The circulating nurse in the perioperative area
- D. A licensed practical nurse: The first assistant in the perioperative area
Correct Answer: C
Rationale: LPNs are qualified to act as circulating nurses in perioperative settings.