Nokea
Which of the following choices correctly groups the three components that determine sexual orientation?
- A. Attraction, self-esteem, and ego
- B. Attraction, cognition, and behavior
- C. Cognition, behavior, and ego
- D. Cognition, self-esteem, and behavior
Correct Answer: B
Rationale: Attraction, cognition, and behavior define sexual orientation comprehensively.
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The first thing that you should do immediately after a client accident is to:
- A. Notify the doctor.
- B. Render care.
- C. Assess the cleint.
- D. Notify the nurse manager.
Correct Answer: C
Rationale: Assessing the client is the immediate priority after an accident.
Which question asked by the nurse best serves as a screening tool for the assessment of a possible problem with alcohol abuse?
- A. When was the last time you drank alcohol?'
- B. Is there a history of alcohol abuse in your immediate family?'
- C. How old were you when you had your first drink of alcohol?'
- D. In the last year, did you ever drink more alcohol than you intended to?'
Correct Answer: D
Rationale: The correct answer is D because it directly assesses the individual's control over alcohol consumption, a key indicator of potential alcohol abuse. By asking if the person has ever consumed more alcohol than intended in the last year, the nurse can gauge if there are issues with self-regulation and potential abuse. Choices A, B, and C focus on past behaviors or family history, which are important but do not directly address current patterns of alcohol consumption and potential abuse.
The initial step in providing effective mental health-focused public health services is:
- A. Securing adequate funding to support needed psychiatric services.
- B. Identifying key providers to assure the delivery of required services.
- C. Surveying the targeted community to identify needs of the high-risk groups.
- D. Recruiting community leaders to provide support for utilization of provided services.
Correct Answer: C
Rationale: The correct answer is C because surveying the targeted community helps identify specific mental health needs and high-risk groups. This information is crucial for tailoring services effectively. Securing funding (A) is important but comes after understanding community needs. Identifying key providers (B) is necessary but should follow community assessment. Recruiting leaders (D) is helpful but not as essential as understanding community needs. In summary, option C is correct as it lays the foundation for designing appropriate mental health services.
The Mini Mental State Exam is most appropriately used when the:
- A. Focus of the exam is the client's cognitive function.
- B. Interview must be completed in 10 minutes or less.
- C. Client is agitated and unwilling to complete the full version.
- D. Test is meant to establish a client's mood at the time of admission.
Correct Answer: A
Rationale: The correct answer is A because the Mini Mental State Exam is specifically designed to assess a client's cognitive function, including orientation, memory, attention, and language skills. This makes it ideal for evaluating cognitive impairment, dementia, and other neurological conditions. The other choices are incorrect because B focuses on time constraints rather than the purpose of the exam, C addresses behavioral issues rather than assessment goals, and D pertains to mood assessment rather than cognitive function evaluation. Therefore, A is the best choice for the appropriate use of the Mini Mental State Exam.
A nurse with a history of narcotic dependence is found unconscious in the hospital locker room after overdosing. The nurse is transferred to the inpatient chemical dependence unit for care. Which attitudes or behaviors by nursing staff may be enabling?
- A. Conveying understanding that pressures associated with nursing practice underlie substance use.
- B. Pointing out that work problems are the result, but not the cause, of substance dependence.
- C. Conveying empathy when the nurse discusses fears of disciplinary action by the state board of nursing.
- D. Providing health teaching about stress management.
Correct Answer: A
Rationale: The correct answer is A because conveying understanding that pressures associated with nursing practice underlie substance use may enable the nurse's behavior by justifying or excusing the substance dependence. This attitude may inadvertently support the nurse's addiction by overlooking the need for accountability and treatment.
Choices B, C, and D are incorrect because:
B: Pointing out that work problems are the result, but not the cause, of substance dependence does not enable the behavior. It acknowledges the issue without excusing or enabling it.
C: Conveying empathy when the nurse discusses fears of disciplinary action by the state board of nursing is not enabling behavior. It shows support and understanding without condoning the substance misuse.
D: Providing health teaching about stress management is not enabling behavior. It focuses on addressing the underlying issues rather than enabling or excusing the substance dependence.