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Which level of Maslows hierarchy of need pyramid is necessary for survival?
- A. Love and belonging
- B. Physiological needs
- C. Self-actualization
- D. Safety and security
Correct Answer: B
Rationale: Physiological needs are the foundation of the pyramid; they must be met before any other needs can be addressed.
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Which nursing activity is a direct result of the Community Mental Health Centers Act of 1963?
- A. Being a member of a client's multidisciplinary treatment team
- B. Performing an extensive admissions assessment for each hospitalized client
- C. Using physical restraints as only the last resort when client safety requires it
- D. Educating a client on the role of neurotransmitters in chronic depression
Correct Answer: A
Rationale: The correct answer is A because the Community Mental Health Centers Act of 1963 emphasized a multidisciplinary approach to mental health care, requiring nurses to be part of a client's treatment team. This legislation aimed to provide comprehensive community-based mental health services, promoting collaboration among different professionals to address clients' needs holistically.
Choice B is incorrect because extensive admissions assessments were not a direct result of this act. Choice C is incorrect as the act did not specifically address the use of physical restraints. Choice D is incorrect because educating clients on neurotransmitters is not directly linked to the Community Mental Health Centers Act of 1963.
All of the following are suggested ways of enhancing/developing one's self-esteem except
- A. Take action to become aware of your personal strengths
- B. Minimize settings and interactions that detract from your feelings of competence
- C. Talk and socialize frequently with people who boost your self-esteem
- D. All of these are ways to enhance one's self-esteem
Correct Answer: D
Rationale: All listed options are valid strategies to enhance self-esteem (Rosenberg).
A nurse can assist a patient and family in which aspects of substance abuse relapse prevention? Select all that apply.
- A. Rehearsing techniques to handle anticipated stressful situations
- B. Advising the patient to accept residential treatment if relapse occurs
- C. Assisting the patient to identify life skills needed for effective coping
- D. Isolating self from significant others and social situations until sobriety is established
Correct Answer: A
Rationale: The correct answer is A because rehearsing techniques to handle stressful situations is a crucial aspect of substance abuse relapse prevention. By practicing coping strategies, the patient can effectively navigate triggers and prevent relapse.
Choices B, C, and D are incorrect:
B: Advising residential treatment is not a proactive relapse prevention strategy and does not empower the patient to manage triggers independently.
C: Identifying life skills is important, but alone it may not directly address relapse prevention techniques.
D: Isolating from support systems contradicts the importance of social support in recovery and may lead to feelings of loneliness and vulnerability, increasing the risk of relapse.
The Joint Commission on the Accreditation of Healthcare Organizations mandates standardized “hand of†change of shift reporting. Which of the following is a standardized “hand off†change of shift reporting system that you may want to consider for implementation on your nursing care unit?
- A. The Four P's
- B. UBAR
- C. ISBAR
- D. MAUMAR
Correct Answer: C
Rationale: ISBAR is a widely recognized handoff communication tool.
The belief that asthma treatment can lead to addiction is prevalent among which of the following groups?
- A. Chinese Americans
- B. Dominican Americans
- C. Mexican Americans
- D. Columbian Americans
Correct Answer: C
Rationale: Mexican Americans commonly hold this misconception about asthma meds.