Which mode of decisionmaking is prevalent among families of Asian Indian origin?
- A. Individual deliberation
- B. Conscious belief-based deliberation
- C. Instinct-based deliberation
- D. Communal deliberation
Correct Answer: D
Rationale: Communal decision-making is typical in Asian Indian families, involving multiple members.
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ne 'double standard' normally refers to the difference in social attitudes towards
- A. Child and adult sexual activity
- B. Homosexual and heterosexual activity
- C. Male and female sexual activity
- D. Working class and middle class sexual activity
Correct Answer: C
Rationale: The double standard typically critiques differing expectations for male vs. female sexual behavior.
Which of the following factors might lead the parents of a Muslim or Arab adolescent patient to initially delay or refuse chemotherapy?
- A. Belief related to Islam
- B. Superstitions about chemotherapy in Arab culture
- C. Desire to consult with extended family members and/or Imam first
- D. Higher prevalence of chemotherapy-related complications among Arabs
Correct Answer: C
Rationale: Consulting family and religious leaders is common in Arab culture for major medical decisions.
Amanda’s mobile home was destroyed by a tornado. Amanda received only minor injuries, but is experiencing disabling anxiety in the aftermath of the event. This type of crisis is called:
- A. Crisis resulting from traumatic stress
- B. Maturational/developmental crisis
- C. Dispositional crisis
- D. Crisis of anticipated life transitions
Correct Answer: A
Rationale: The correct answer is A: Crisis resulting from traumatic stress. This is because Amanda's anxiety is a direct result of the traumatic event of her mobile home being destroyed by a tornado. Traumatic stress can lead to emotional and psychological distress, such as anxiety, following a life-threatening or traumatic event.
Choices B, C, and D are incorrect:
B: Maturational/developmental crisis refers to crises that arise from normal life transitions or developmental stages. Amanda's situation is not a result of a typical life transition.
C: Dispositional crisis is a result of pre-existing personality characteristics or coping strategies. Amanda’s crisis is not due to her inherent disposition.
D: Crisis of anticipated life transitions involves stress related to expected life changes. Amanda's situation was unexpected due to the tornado and not a planned life transition.
Albert Ellis and Aron Beck contributed in ------therapy:
- A. Cognitive behavioral therapy
- B. REBT
- C. Rational Emotive Therapy
- D. None of them
Correct Answer: A
Rationale: Ellis (REBT) and Beck (cognitive therapy) both contributed to cognitive behavioral therapy (CBT), integrating thought and behavior.
Which nursing intervention best builds a therapeutic nurse-client relationship?
- A. Actively listening as the client expresses his or her thoughts and feelings
- B. Intervening when the client begins to state beliefs that come from his or her illness
- C. Evaluating a client's behaviors and interpersonal relationships frequently to identify stressors
- D. Passively allowing the client to control the communication and tone of the discussions
Correct Answer: A
Rationale: The correct answer is A because actively listening allows the nurse to show empathy, understanding, and respect towards the client, which are essential for building a therapeutic relationship. By actively listening, the nurse can demonstrate genuine interest in the client's thoughts and feelings, fostering trust and rapport.
Choice B is incorrect as intervening when the client expresses beliefs from their illness may disrupt the client's expression and hinder the development of trust.
Choice C is incorrect because evaluating behaviors and relationships may create a sense of judgment and lack of privacy, which can be detrimental to the therapeutic relationship.
Choice D is incorrect because passively allowing the client to control communication may lead to a lack of direction and boundaries, potentially hindering effective communication and rapport-building.