Nokea
Which federal law is most closely associated with the highly restrictive “need to know�
- A. The Patient Self Determination Act
- B. The Mental Health Parity Act
- C. The Health Insurance Portability and Accountability Act
- D. The Americans with Disabilities Act of 1990
Correct Answer: C
Rationale: HIPAA enforces strict 'need to know' provisions for medical information.
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Which of these is not one of Biesteks's Seven Principles of Relationship
- A. Acceptance
- B. Independence
- C. Controlled emotional involvement
- D. Confidentiality
Correct Answer: B
Rationale: Independence is not among Biestek's original seven; the others are core principles.
Marie, age 56, is the mother of five children. Her youngest child, who had been living at home and attending the local college, recently graduated and accepted a job in another state. Marie has never worked outside the home and has devoted her life to satisfying the needs of her husband and children. Since the departure of her last child from home, Marie has become more and more despondent. Her husband has become very concerned, and takes her to the local mental health center. This type of crisis is called:
- A. Dispositional crisis
- B. Crisis of anticipated life transitions
- C. Psychiatric emergency
- D. Crisis resulting from traumatic stress
Correct Answer: B
Rationale: The correct answer is B: Crisis of anticipated life transitions. This type of crisis occurs when an individual faces major life changes that result in feelings of distress or uncertainty. In this scenario, Marie is experiencing a crisis due to the anticipated life transition of her youngest child leaving home. This event has disrupted her usual roles and routines, leading to feelings of despondency.
Choice A (Dispositional crisis) refers to crises that arise from an individual's internal characteristics or coping mechanisms, which is not the case here. Choice C (Psychiatric emergency) is not applicable as there is no indication of severe or acute mental health issues requiring immediate intervention. Choice D (Crisis resulting from traumatic stress) does not fit the situation as there is no mention of a traumatic event triggering Marie's distress.
In summary, the most appropriate term to describe Marie's crisis is a Crisis of anticipated life transitions, as it aligns with her current situation of struggling to adjust to the new phase of life after
A patient who has AIDS expresses concern about telling others about the illness. Which response would be appropriate by the nurse?
- A. It would be best to tell everyone you know.'
- B. You should tell those who have a reason to know.'
- C. Your diagnosis will be discovered anyway by those you know.'
- D. Secrecy is a poor idea because it will erode your self-esteem.'
Correct Answer: B
Rationale: The correct answer is B: "You should tell those who have a reason to know." This response is appropriate as it respects the patient's autonomy and privacy. By sharing the diagnosis with only those who need to know, the patient can control who has access to this sensitive information. This approach also promotes trust and open communication within the patient's support network.
Option A is incorrect as it disregards the patient's right to privacy and may cause unnecessary stress. Option C is incorrect as it assumes the diagnosis will inevitably become public, which may not be the case if the patient chooses to keep it private. Option D is incorrect as it oversimplifies the situation and may not consider the patient's unique circumstances and preferences.
One common way of exploring in early childhood is by
- A. Avoiding
- B. Asking
- C. Listening
- D. Reading
Correct Answer: B
Rationale: Asking questions is a primary exploratory method in young children.
A client has been voluntarily admitted to a mental health unit for treatment of acute depression. Which client request will the nurse deny based on this type of commitment?
- A. Notifying his wife to bring him his personal cell phone
- B. Arranging for him to cast his absentee vote for a city election
- C. Mailing out his driver's license renewal form as a registered letter
- D. Arranging for a private space where he can meet with his attorney
Correct Answer: A
Rationale: The correct answer is A because in a voluntary admission for acute depression, the client retains their basic rights, such as making personal phone calls. However, the nurse may deny the request to have the personal cell phone brought in due to concerns about safety, privacy, and potential access to harmful content. Choice B is incorrect as the client has the right to participate in civic activities like casting a vote. Choice C is incorrect as it involves maintaining personal documentation. Choice D is incorrect as the client has the right to meet with their attorney in a private space.