Which mental health service focuses on a largely underserved at-risk population?
- A. Stress management classes for new mothers
- B. A support group for recovering male alcoholics
- C. A depression support group for adolescent children
- D. Socialization therapy for adults diagnosed with schizophrenia
Correct Answer: C
Rationale: The correct answer is C: A depression support group for adolescent children. This population is largely underserved due to stigma, lack of resources, and limited awareness. Adolescents are at a vulnerable stage in their lives and may struggle to express their emotions and seek help. Providing a support group specifically tailored to address their mental health needs can offer a safe space for them to share experiences, receive guidance, and build coping skills. Stress management classes for new mothers (A) target a specific demographic but not as underserved as adolescent children. A support group for recovering male alcoholics (B) and socialization therapy for adults with schizophrenia (D) also address important mental health issues but are not focused on as an underserved population as adolescent children struggling with depression.
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Diverse cultural beliefs can result in dramatically varied perceptions of wellness, disease, and the treatment of disease. In order to best address these variations when planning nursing care, the nurse and client initially:
- A. Agree to respect each other's beliefs and values.
- B. Discuss what the client believes is the cause of his or her illness.
- C. Agree that treatment planning will include family members when possible.
- D. Discuss the incorporation of both traditional nursing practice and culturally based practices.
Correct Answer: B
Rationale: The correct answer is B: Discuss what the client believes is the cause of his or her illness. This is the best initial step to address cultural variations in perceptions of wellness and disease because it allows the nurse to understand the client's perspective and tailor care accordingly. By exploring the client's beliefs, the nurse can identify any cultural factors that may impact treatment decisions.
A: Agree to respect each other's beliefs and values - While important, this is a broader concept and may not directly address the specific cultural beliefs influencing the client's health views.
C: Agree that treatment planning will include family members when possible - Involving family members is valuable but may not directly address the immediate need to understand the client's beliefs about illness.
D: Discuss the incorporation of both traditional nursing practice and culturally based practices - This is important but may be premature without first understanding the client's specific beliefs about illness.
Which nursing-focused activity is best directed toward the future of evidence-based psychiatric nursing practice?
- A. Offering depression screening to all ages on a regular basis
- B. Working towards an advanced practice psychiatric nursing degree
- C. Discussing nursing interventions with the client's multidisciplinary care team
- D. Re-evaluating the validity of traditionally accepted psychiatric nursing care interventions
Correct Answer: D
Rationale: The correct answer is D because re-evaluating the validity of traditionally accepted psychiatric nursing care interventions aligns with evidence-based practice principles. By critically examining current practices and seeking evidence to support them, nurses can ensure that interventions are based on the best available evidence.
A: Offering depression screening is important but does not specifically address evidence-based practice for psychiatric nursing.
B: Pursuing an advanced practice degree is beneficial for individual growth but does not directly impact evidence-based practice for the field.
C: Discussing nursing interventions with the care team is collaborative but may not necessarily focus on evidence-based practice specifically.
The child's ability to plan ahead develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: D
Rationale: Planning ahead requires abstract thinking, which develops in the formal operational stage (Piaget).
Septo-Optic Dysplasia is a disorder of early brain development occurs in ----in10,000 newborns:
- A. 1
- B. 2
- C. 3
- D. 4
Correct Answer: A
Rationale: Septo-optic dysplasia affects 1 in 10,000 newborns, a rare congenital condition.
The best way to objectively evaluate the effectiveness of an individual staff member's time management skills in a longitudinal manner is to:
- A. Observe the staff member during an entire shift of duty to determine whether or not the nurse has accurately and appropriately established priorities.
- B. Observe the staff member during an entire shift of duty to determine whether or not the nurse has accurately and appropriately completed priority tasks.
- C. Ask the staff member how they feel like they have been able to employ their time management skills for the last six months.
- D. Collect outcome data over time and then aggregate and analyze this data to determine whether or not the staff member has completed reasonable assignments in the allotted time before the end of their shift of duty.
Correct Answer: D
Rationale: Longitudinal evaluation requires data collection and analysis over time.