Nokea
Which characteristics are most likely in a sexual perpetrator? Select all that apply.
- A. Male.
- B. Female.
- C. Stranger.
- D. Age 30 or younger.
Correct Answer: A
Rationale: Step 1: Research shows that the majority of sexual perpetrators are male.
Step 2: Societal norms and power dynamics often contribute to male perpetration.
Step 3: Males are more likely to have societal privilege and opportunity to commit sexual offenses.
Step 4: Gender stereotypes and toxic masculinity can influence male behavior towards sexual violence.
Summary: Choice A is correct because statistical data and societal factors support the likelihood of male sexual perpetrators. Choices B, C, and D are incorrect as they do not align with the established patterns and research on sexual perpetration.
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A nurse works a rape telephone hotline. Communication should focus on:
- A. Explaining immediate steps victims should take;
- B. Providing callers with a sympathetic listener.
- C. Obtaining information for law enforcement.
- D. Arranging long-term counseling.
Correct Answer: A
Rationale: The correct answer is A because in cases of sexual assault, immediate steps such as seeking medical attention, preserving evidence, and contacting authorities are crucial. Providing sympathy (B) is important but secondary to ensuring victims' safety. Obtaining information for law enforcement (C) should only be done if victims consent, as their safety and well-being are the priority. Long-term counseling (D) is important but not the immediate focus on a hotline call.
The first step in the creation of a therapeutic alliance between a nurse and a patient with a maladaptive response to eating regulation is:
- A. formulation of a nurse-patient contract.
- B. resolution of conflicts with family members.
- C. nurse and patient will agree on perception of patient's body.
- D. the means of stabilizing the patient's nutritional status will be specified.
Correct Answer: A
Rationale: The correct answer is A: formulation of a nurse-patient contract. This is because establishing a clear agreement outlining the roles, responsibilities, and boundaries between the nurse and patient is crucial in building trust and collaboration. It sets the foundation for a therapeutic alliance by promoting mutual understanding and shared goals.
Summary:
B: Resolving conflicts with family members may be important for overall well-being but is not the first step in creating a therapeutic alliance.
C: Agreeing on the patient's body perception is important but does not address the fundamental establishment of trust through a contract.
D: Specifying means of stabilizing nutritional status is essential but comes after the initial agreement on roles and responsibilities.
The average age for onset of anorexia nervosa is:
- A. 13 years old.
- B. 17 years old.
- C. 33 years old.
- D. 40 years old.
Correct Answer: B
Rationale: The correct answer is B (17 years old) because anorexia nervosa typically manifests during adolescence, around ages 15-19. This age range coincides with the developmental stage where body image concerns and societal pressures are heightened. Choice A (13 years old) is too young for the typical onset. Choices C (33 years old) and D (40 years old) are too late for onset, as anorexia nervosa usually begins earlier in life.
What would be an expected outcome for a patient with anorexia nervosa undergoing treatment?
- A. The patient will stabilize weight at a normal level.
- B. The patient will participate in group therapy regularly.
- C. The patient will express satisfaction with their body image.
- D. The patient will regain full cognitive function and independence.
Correct Answer: A
Rationale: The correct answer is A. In Anorexia Nervosa treatment, the primary goal is weight restoration to a healthy level. This is crucial for physical health and recovery. Stabilizing weight at a normal level is a key indicator of treatment success. Choices B, C, and D are incorrect as they do not address the core issue of weight restoration, which is essential in treating Anorexia Nervosa. Group therapy, body image satisfaction, and cognitive function are important aspects of treatment but not the primary outcome measure for patients with anorexia nervosa.
A client with schizophrenia tells the nurse as they sit in the day room, 'I hear voices telling me bad things.' The most therapeutic response the nurse can make is:
- A. Tell me what the voices are saying.'
- B. I understand you hear these so-called voices, but I hear only the people in the room talking.'
- C. The voices are not real. They're only your imagination.'
- D. Do you think the voices would go away if we went into your room to talk?'
Correct Answer: B
Rationale: The correct answer is B because it demonstrates empathy and validation of the client's experience. By acknowledging the client's reality of hearing voices and emphasizing that the nurse does not hear them, the nurse establishes trust and rapport. This response shows active listening and validates the client's feelings without judgment.
Incorrect responses:
A: Asking the client to describe the voices may increase distress and is not as supportive as acknowledging their experience.
C: Dismissing the voices as not real can invalidate the client's experience and may lead to mistrust.
D: Suggesting a change of location does not address the client's immediate concerns and may not be therapeutic in this situation.