Nokea
Which of the following are risk factors for pathological gambling?
- A. Impulsivity.
- B. Alcohol abuse.
- C. Parents who gamble.
- D. All of the above
Correct Answer: D
Rationale: All listed factors"impulsivity, alcohol abuse, parental gambling, and tolerance"are recognized risk factors for developing pathological gambling.
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Which of the following is a common ethical challenge for family practitioners?
- A. Choosing to focus on the welfare of the individual or the family
- B. Avoiding upsetting the family system through disclosure of therapist faith
- C. Choosing which theoretical orientation to apply to an individual family
- D. N/A
Correct Answer: A
Rationale: Balancing individual vs. family welfare is a frequent ethical dilemma in systemic therapy.
Why might an immigrant patient be reluctant to participate in DOT?
- A. Immigrant patients are fearful of medical authority
- B. The patient may be fearful because of the loss of privacy or cultural misunderstanding
- C. The patient may have had a similar experience in his/her native country
- D. The patient may feel that DOT will make the illness worse
Correct Answer: B
Rationale: Privacy loss and cultural differences often deter immigrants from DOT participation.
A new patient in an alcoholism rehabilitation program says, 'I’m just a social drinker. I usually have a drink or two at brunch, a few cocktails in the afternoon, wine at dinner, and a few drinks in the evening.' Which response by the nurse will help the patient view the drinking more honestly?
- A. I see,' and use interested silence.
- B. I think you may be drinking more than you report.'
- C. Being a social drinker involves having a drink or two once or twice a week.'
- D. You describe drinking steadily throughout the day and evening. Am I correct?'
Correct Answer: D
Rationale: Step 1: The nurse needs to provide a reflection that highlights the patient's patterns of drinking.
Step 2: Option D reflects the patient's drinking pattern accurately and objectively.
Step 3: By repeating the patient's own words back to them, the nurse helps the patient see the extent of their drinking.
Step 4: This response encourages the patient to reflect on their alcohol consumption more honestly.
Step 5: Option D is correct as it addresses the patient's behavior directly and prompts self-reflection.
Summary:
- Option A is passive and does not challenge the patient's perception.
- Option B is confrontational and may lead to defensiveness.
- Option C provides a generalized definition of social drinking, not addressing the patient's specific behavior.
McMillan placed high value on the education of
- A. Imagination
- B. Modeling
- C. Creativity
- D. Play
Correct Answer: D
Rationale: Margaret McMillan saw play as essential for child development.
Place the following phases of crisis in the correct sequential order. Order each response with a number from first to last, with #1 as the first phase of crisis to #4 which is the fourth phase of crisis. 1. The signs and symptoms of the General Adaptation Syndrome 2. Detachment and disorientation 3. Trying alternative methods of coping 4. The use of psychological ego defense mechanisms
- A. 3,2,1,4
- B. 1,2,3,4
- C. 4,3,2,1
- D. 4,3,1,2
Correct Answer: B
Rationale: Crisis phases (B: 1,2,3,4) follow GAS, detachment, coping attempts, and defense mechanisms.