Nokea
Which model looks at how internal family relationships affect family functioning?
- A. Systems theory
- B. Narrative therapy
- C. Structural family therapy
- D. Social work case management
Correct Answer: C
Rationale: SFT specifically examines internal relational structures like boundaries and alignments.
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he theorist who believes that human behavior is influenced by culture is
- A. Sigmund Freud
- B. Carl Rogers
- C. Lev Vygotsky
- D. Erik Erikson
Correct Answer: C
Rationale: Lev Vygotsky stressed the role of culture in shaping cognitive and behavioral development.
Which of the following approaches is most effective in helping patients with type 2 diabetes to lose weight?
- A. Advocate the American Diabetes Association's 1800-calorie diet for all patients
- B. Recommend daily exercise and decreased food intake
- C. Suggest substituting healthy ingredients for meals and snacks based on the patient's cultural heritage and personal preferences
- D. Refer patients to a dietitian for all their diet-related inquiries
Correct Answer: C
Rationale: Culturally tailored substitutions enhance adherence by aligning with patient preferences and lifestyle.
You are the registered nurse in a multi ethnic community health department clinic. In this role you are asked to identify clients who have genetic risk factors related to ethnicity in order to screen them for some commonly occurring diseases and disorders. You would identify a client who is of:
- A. Mediterranean ethnicity for cystic fibrosis.
- B. African American ethnicity for Tay Sachs disease.
- C. British Isles ethnicity for psychiatric mental health disorders.
- D. Saudi Arabian ethnicity for sickle cell anemia.
Correct Answer: D
Rationale: Sickle cell anemia (D) is prevalent among Saudi Arabians.
Which basic activity of daily living assistive device can be useful for the client who is affected with poor fine motor coordination?
- A. An aphasia aid
- B. A button hook
- C. Honey thickened liquids
- D. A word board
Correct Answer: B
Rationale: A button hook (B) aids fine motor tasks like dressing.
Sarah is an African American woman who receives a visit from the psychiatric home health nurse. A referral for a mental health assessment was made by the public health nurse, who noticed that Sarah was becoming exceedingly withdrawn. When the psychiatric nurse arrives, Sarah says to her, 'No one can help me. I was an evil person in my youth, and now I must pay.' How might the nurse assess this statement?
- A. Sarah is having delusions of persecution.
- B. Some African Americans believe illness is God's punishment for their sins.
- C. Sarah is depressed and just wants to be left alone.
- D. African Americans do not believe in psychiatric help.
Correct Answer: B
Rationale: Sarah's statement about being an evil person in her youth and needing to pay suggests a cultural or spiritual belief that illness is a punishment for sins, common among some African Americans, aligning with option b.