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Which of the following combines the best treatments for postpartum blues?
- A. Antidepressants, sleep, crisis intervention
- B. Rest, support, compassion
- C. Mother-baby bonding session, family education, antidepressants
- D. Analgesics for post-delivery pain, rest, longer hospital stay
Correct Answer: B
Rationale: Antidepressants have no use in postpartum blues (A, C). Rest, support, and compassion (B) are the main interventions for this self-limiting condition, unlike analgesics or extended hospital stays (D).
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The term schizophrenia can be interpreted to mean
- A. a split between thought and emotion
- B. having more than one personality
- C. the same thing as a dissociative reaction
- D. that a person is insane
Correct Answer: A
Rationale: Schizophrenia's etymology suggests a 'split mind,' referring to fragmented thought-emotion processes.
A victim of partner abuse, parent of one child, describes the partner as someone who is easily frustrated and more likely to be abusive after experiencing an event in which self-esteem is challenged. The most recent episodes of violence were related to feeling "upset"Â over a job loss. What type of therapy would provide the greatest help to the abuser?
- A. Voluntary individual or group therapy
- B. Court-ordered individual or group therapy
- C. Voluntary couples or family therapy
- D. Court-ordered couples or family therapy
Correct Answer: A
Rationale: The correct answer is A: Voluntary individual or group therapy. This type of therapy would provide the greatest help to the abuser because it focuses on addressing the underlying issues of frustration, self-esteem challenges, and abusive behavior. The key here is that the therapy is voluntary, which means the abuser is more likely to engage and actively participate in the process. In individual or group therapy, the abuser can explore and work on managing emotions, coping strategies, and developing healthier communication skills. Court-ordered therapy (choices B and D) may not be as effective because it could be seen as a punishment rather than a genuine effort to seek help. Couples or family therapy (choice C) may not be appropriate initially as the focus should be on the abuser's personal growth and behavior change.
A consumer at a rehabilitative psychosocial program says to the nurse, 'People are not cleaning up behind themselves in the bathrooms. The building is dirty and cluttered.' How should the nurse respond?
- A. Encourage the consumer to discuss it at a meeting with everyone
- B. Hire a professional cleaning service to clean the restrooms
- C. Address the complaint at the next staff meeting
- D. Tell the consumer, 'Thats not my problem'
Correct Answer: A
Rationale: Consumer-run programs range from informal clubhouses, which offer socialization and recreation, to competitive businesses, such as snack bars or janitorial services, which provide needed services and consumer employment while encouraging independence and building vocational skills. Consumers engage in problem solving under the leadership of staff.
A child, aged 11 years, stays home from school to care for his siblings while his mother works, because the family cannot afford a babysitter. The home is cluttered and dirty when the community mental health nurse visits to investigate the child's school absences. The nurse's legal responsibility if child abuse or neglect is suspected is to:
- A. consult with the child's teacher, principal, and school psychologist.
- B. document the observations and impressions in the family health record.
- C. report her suspicions of abuse or neglect according to state regulations.
- D. wait until she has proof of abuse or neglect, then report it to authorities.
Correct Answer: C
Rationale: Correct Answer: C
Rationale:
1. **Legal Obligation**: The nurse has a legal duty to report suspicions of child abuse or neglect.
2. **Protecting the Child**: Reporting ensures the child's safety and well-being.
3. **State Regulations**: State laws mandate reporting suspected abuse or neglect.
4. **Immediate Action**: Waiting for proof delays intervention and puts the child at risk.
Summary:
- Choice A: Consulting with school staff doesn't fulfill the legal obligation to report.
- Choice B: Documenting is important but not sufficient; reporting is crucial.
- Choice D: Waiting for proof is dangerous; immediate reporting is necessary to protect the child.
An 11-year-old child stays home from school to care for his siblings while his mother works, is demeaned by his father, and has negative self-perceptions. Which intervention(s) would be appropriate? Select all that apply.
- A. Crisis intervention
- B. Create a safety plan.
- C. Refer to family therapy.
- D. Refer for case management.
Correct Answer: A
Rationale: The correct answer is A: Crisis intervention. This is appropriate because the child is experiencing multiple stressors that require immediate support. Crisis intervention focuses on providing immediate assistance to individuals in distress and can help address the child's current emotional and psychological needs.
Summary of other choices:
B: Creating a safety plan may be relevant if there are safety concerns, but it does not address the child's emotional well-being.
C: Referring to family therapy may be beneficial in addressing family dynamics, but it may not be the most urgent intervention in this case.
D: Referring for case management is important for coordinating services, but it may not provide the immediate emotional support needed in this situation.