Which individual has not met the criteria for involuntary commitment to a mental health facility?
- A. A teenager who has threatened to shoot himself if his girlfriend leaves him
- B. A young adult who is 20% below normal weight as a result of dramatically restricting food
- C. An older adult found wandering in the mall who is unable to provide his name
- D. An adult who reports that he drinks way too much in order to forget the abuse he's endured
Correct Answer: D
Rationale: The correct answer is D because excessive alcohol consumption, while harmful, does not inherently meet the criteria for involuntary commitment. Step 1: Involuntary commitment typically requires imminent danger to self or others. Step 2: While excessive alcohol consumption is concerning, it does not necessarily indicate immediate danger. Step 3: Choices A, B, and C all involve behaviors or conditions that pose a more immediate risk, such as threats of self-harm, severe physical health issues, or disorientation. Thus, D is the only option where the behavior does not meet the criteria for involuntary commitment.
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The belief stated in the previous question is more common among which of the following ethnic groups?
- A. Hispanic
- B. Caucasian
- C. Asian
- D. African American
Correct Answer: D
Rationale: This belief is notably prevalent among African Americans, per cultural studies.
Miss Lee, an Asian American on the psychiatric unit, says she is afraid that no one from her family will visit her. On what belief does Miss Lee base her statement?
- A. Many Asian Americans do not believe in hospitals.
- B. Many Asian Americans do not have close family support systems.
- C. Many Asian Americans believe the body will heal itself if left alone.
- D. Many Asian Americans view psychiatric problems as bringing shame to the family.
Correct Answer: D
Rationale: Miss Lee's fear of no family visits is rooted in the cultural belief that psychiatric issues bring shame to the family, potentially leading to avoidance or stigma, aligning with option d.
The theorist who believes in social constructivism is
- A. Sigmund Freud
- B. Carl Rogers
- C. Lev Vygotsky
- D. Erik Erikson
Correct Answer: C
Rationale: Lev Vygotsky's social constructivism emphasizes learning through social interaction.
The nurse demonstrates an understanding of the first assumption of Stuart's Stress Adaptation Model when:
- A. Encouraging a client's adult children to accompany their parent to family group therapy sessions.
- B. Discussing with a client's health team which interventions should be included in the plan of care.
- C. Planning interventions based on a particular nursing theory that is relevant to the client's problem.
- D. Identifying community resources that will help a mentally ill client live in his own home.
Correct Answer: A
Rationale: Correct Answer: A
Rationale: The first assumption of Stuart's Stress Adaptation Model is that the client is a part of a larger system involving family and social support. By encouraging a client's adult children to accompany their parent to family group therapy sessions, the nurse is acknowledging and incorporating the client's support system. This aligns with the model's focus on involving family members in the client's care to promote adaptation and stress management. This approach recognizes the importance of social support in the client's overall well-being.
Summary of Other Choices:
B: Discussing interventions with the health team focuses on collaboration and coordination but does not specifically address the client's family support system as required by the model.
C: Planning interventions based on a nursing theory is important but does not directly align with the first assumption of involving the client's family.
D: Identifying community resources is beneficial, but it does not specifically address the client's family support system, which is the primary focus of the first assumption in Stuart
How should physicians interact with colleagues to lower rates of poor adherance among patients?
- A. Support colleagues who have had frustrating experiences with patients
- B. Provide feedback on communication style by reframing patient encounters
- C. Keep tabs on patients and families who have histories of noncompliance
- D. Reprimand colleagues for rash, unprofessional behavior
Correct Answer: B
Rationale: Feedback improves communication, reducing adherence issues.