Nokea
When discussing sensitive and personal issues with a patient that may involve significant lifestyle changes and treatment issues, how should the patient's family be involved in this process?
- A. The patient's family should always be actively involved in the conversation
- B. The patient's family is not an important participant in the conversation
- C. The physician should always decide whether or not to include the family based on the patient's wishes
- D. The physician should contact the family prior to speaking with the patient
Correct Answer: C
Rationale: Respecting patient autonomy, family involvement should align with the patient's preferences.
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The theorist who believes in cultural development is
- A. Sigmund Freud
- B. Carl Rogers
- C. Lev Vygotsky
- D. Erik Erikson
Correct Answer: C
Rationale: Lev Vygotsky's sociocultural theory emphasizes cultural influences on development.
Case-finding is...
- A. Asking friends/family if they know of people in need so you can build your client base
- B. Looking for folders misplaced on your desktop at work
- C. Finding the particular points of a situation on which to build the client case
- D. N/A
Correct Answer: C
Rationale: Case-finding identifies key situational elements to inform intervention.
he Montessori approach believes that discipline comes from
- A. Punishment
- B. Reward
- C. Self-control
- D. Teacher's authority
Correct Answer: C
Rationale: Montessori fosters self-control as the basis for discipline.
A patient with HIV asks the nurse if thinking about dying frequently is common with HIV. What is an appropriate response by the nurse?
- A. HIV is a serious disease that results in death.'
- B. Thinking about death will not change the prognosis.'
- C. HIV is now considered a chronic disease with treatment.'
- D. HIV has a very high mortality rate, so it is realistic to plan for death.'
Correct Answer: C
Rationale: Rationale for Correct Answer C:
1. HIV is now considered a chronic disease with treatment, meaning many individuals can live long and healthy lives with proper medical care.
2. By informing the patient that HIV is a chronic disease, the nurse can provide reassurance and hope.
3. Acknowledging the patient's concerns while highlighting the positive advancements in HIV care can help alleviate anxiety and provide comfort.
Summary of Incorrect Choices:
A: This answer instills fear without providing accurate information about the current state of HIV treatment.
B: This answer dismisses the patient's concerns and does not offer any constructive information or support.
D: This answer is misleading as HIV mortality rates have significantly decreased with advancements in treatment, and planning for death should not be the primary focus for individuals living with HIV.
A parent is admitted to a chemical dependency treatment unit. The patients spouse and adolescent children participate in a family session. What is the most important aspect of this familys assessment?
- A. Spouses codependent behaviors
- B. Interactions among family members
- C. Patients reaction to the familys anger
- D. Childrens responses to the family sessions
Correct Answer: B
Rationale: Interactions among all family members are the raw material for family problem solving. By observing interactions, the nurse can help the family make its own assessments of strengths and deficits. The other options are narrower in scope when compared with the correct option.