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Which information is the nurse most likely to find when assessing the family of a patient with a serious mental illness?
- A. The family exhibits many characteristics of dysfunctional families.
- B. Several family members have serious problems with their physical health.
- C. Power in the family is maintained in the parental dyad and rarely delegated.
- D. Stress from living with a mentally ill member has challenged the familys function.
Correct Answer: D
Rationale: The information almost universally obtained is that the family is under stress associated with having a mentally ill member. This stress lowers the familys level of functioning in at least one significant way. Stress does not necessarily mean the family has become dysfunctional.
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Fun is the child's word for sensory integration:
- A. Communicative
- B. Sensory
- C. Sensitive
- D. Cognitive
Correct Answer: B
Rationale: Ayres described fun as a child's experience of sensory integration through play.
If there's substance abuse in a Level 1 family,
- A. It should be considered alongside other issues
- B. Use the principle of mimesis and suggest talking over a drink
- C. It should be considered the primary focus of intervention
- D. A stay in residential rehab should be recommended
Correct Answer: A
Rationale: Substance abuse is one of many pressing issues in Level 1 families, requiring a holistic approach.
Physicians encounter many patients who may be unaccustomed to the U.S. health care system. How can physicians effectively take care of patients from diverse backgrounds?
- A. Physicians should focus on their communication skills over understanding a patient's cultural context
- B. Physicians should emphasize good communication in combination with understanding a patient's cultural context
- C. Physicians should prioritize understanding a patient's cultural context and leave communication to a trained medical interpreter
- D. Physicians should treat all patients in the same manner, regardless of a patient's preconceived notions of the U.S. health care system
Correct Answer: B
Rationale: Combining communication and cultural context ensures effective, tailored care.
A complete discussion of contraception should include which of the following?
- A. Verbal explanation of pros and cons for each method
- B. Verbal and written descriptions of methods
- C. An opportunity for questions about how each method works
- D. All of the above
Correct Answer: D
Rationale: A thorough discussion covers all aspects to ensure informed choice.
Dementia can increase the risk of epilepsy in
- A. Teenagers
- B. Adolescents
- C. Older adults
- D. Childhood
Correct Answer: C
Rationale: Dementia, common in older adults, increases epilepsy risk due to brain changes.