Nokea
Which of the following approaches would be most effective in treating patients who have been unsuccessful at losing weight?
- A. Motivational interviewing
- B. Teach back approach
- C. Referral to a dietitian
- D. Recommendation of self-help books
Correct Answer: A
Rationale: Motivational interviewing addresses ambivalence and boosts commitment.
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The therapeutic alliance exists on which three levels?
- A. Short term, medium term and long term
- B. Individual, family and community
- C. Individual, subsystem and family
- D. N/A
Correct Answer: C
Rationale: The therapeutic alliance operates at individual, subsystem (e.g., parental), and whole-family levels, reflecting systemic engagement.
Long arm of neuron, which carries message is
- A. Nerve
- B. Synapse
- C. Axon
- D. Dendrite
Correct Answer: C
Rationale: The axon transmits signals from the neuron.
A 15-year-old is hospitalized after a suicide attempt. This adolescent lives with the mother, stepfather, and several siblings. When performing a family assessment, the nurse must first determine:
- A. how the family expresses and manages emotion.
- B. names and relationships of the familys members.
- C. the communication patterns between the patient and parents.
- D. the meaning that the patients suicide attempt has for family members.
Correct Answer: B
Rationale: The identity of the members of the family is the most fundamental information and should be obtained first. Without this, the nurse cannot fully process the other responses.
Patients who speak conversational English may receive the most benefit from which of the following resources?
- A. Medical information pamphlets
- B. A skilled medical interpreter
- C. Written prescription instructions
- D. Free samples of prescribed medication
Correct Answer: C
Rationale: Written instructions reinforce understanding for conversational English speakers.
A person whose spouse died two years earlier tells friends, I think I'll start going out socially, maybe even take someone to dinner. This comment best demonstrates that the individual is:
- A. denying the significance of the loss.
- B. in a period of resolution of grief.
- C. actively working through grief.
- D. experiencing intrusion.
Correct Answer: B
Rationale: Toward the end of the grief process, the person renews his or her interest in people and activities. This behavior indicates resolution. At the same time, the person is released from the relationship with the deceased. The patient has progressed beyond grief. The patient is seeking to move into new relationships so that he or she is not alone.