Nokea
Which of the following factors might lead the parents of a Muslim or Arab adolescent patient to initially delay or refuse chemotherapy?
- A. Belief related to Islam
- B. Superstitions about chemotherapy in Arab culture
- C. Desire to consult with extended family members and/or Imam first
- D. Higher prevalence of chemotherapy-related complications among Arabs
Correct Answer: C
Rationale: Consulting family and religious leaders is common in Arab culture for major medical decisions.
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Marie, age 56, is the mother of five children. Her youngest child, who had been living at home and attending the local college, recently graduated and accepted a job in another state. Marie has never worked outside the home and has devoted her life to satisfying the needs of her husband and children. Since the departure of her last child from home, Marie has become more and more despondent. Her husband has become very concerned, and takes her to the local mental health center. This type of crisis is called:
- A. Dispositional crisis
- B. Crisis of anticipated life transitions
- C. Psychiatric emergency
- D. Crisis resulting from traumatic stress
Correct Answer: B
Rationale: The correct answer is B: Crisis of anticipated life transitions. This type of crisis occurs when an individual faces major life changes that result in feelings of distress or uncertainty. In this scenario, Marie is experiencing a crisis due to the anticipated life transition of her youngest child leaving home. This event has disrupted her usual roles and routines, leading to feelings of despondency.
Choice A (Dispositional crisis) refers to crises that arise from an individual's internal characteristics or coping mechanisms, which is not the case here. Choice C (Psychiatric emergency) is not applicable as there is no indication of severe or acute mental health issues requiring immediate intervention. Choice D (Crisis resulting from traumatic stress) does not fit the situation as there is no mention of a traumatic event triggering Marie's distress.
In summary, the most appropriate term to describe Marie's crisis is a Crisis of anticipated life transitions, as it aligns with her current situation of struggling to adjust to the new phase of life after
Children develop autonomy between
- A. 0-1 year
- B. 1-3 years
- C. 3-5 years
- D. 5-7 years
Correct Answer: B
Rationale: Autonomy vs. shame/doubt (1-3 years, Erikson) builds independence.
In order to become political advocates for the mentally ill, psychiatric nurses must first:
- A. Be willing to learn the legislative and regulatory processes at both the federal and state levels.
- B. Recognize the need to work in partnership with the American Medical Association.
- C. Be willing to put aside differences and unite for a common mental health cause.
- D. Recognize the value of their understanding of the needs of the mentally ill.
Correct Answer: D
Rationale: The correct answer is D because psychiatric nurses must understand the unique needs of the mentally ill to effectively advocate for them. By recognizing the value of their understanding, nurses can tailor their advocacy efforts to address these specific needs. Choice A is incorrect as legislative knowledge is important but not the primary requirement. Choice B is incorrect as partnership with the AMA is not necessary for advocacy. Choice C is incorrect as unity alone is not sufficient without a clear understanding of the mental health issues.
Reinforcer is used to the behaviour
- A. Strengthen
- B. Weaken
- C. Perform
- D. Remove
Correct Answer: A
Rationale: Reinforcers strengthen behavior (Skinner).
The client's chart indicates that she has experienced trauma to the cerebral cortex as a result of injuries sustained during an attempted suicide. Which observation is most likely the result of this injury?
- A. Client is often found crying into her pillow.
- B. Client demonstrates involuntary twitching of facial muscles.
- C. Client states, 'What do you mean 'it's raining cats and dogs'?'
- D. Client asks, 'Can you address this letter to my mom; I forget her address?'
Correct Answer: C
Rationale: The correct answer is C because trauma to the cerebral cortex can lead to difficulties understanding and interpreting language, resulting in the client's statement of confusion about the idiom "raining cats and dogs." This type of injury can affect the client's language comprehension and expression.
Choice A is incorrect because crying into a pillow is not directly related to trauma in the cerebral cortex. Choice B is incorrect as involuntary twitching of facial muscles is more indicative of motor-related issues, not language comprehension problems. Choice D is also incorrect as forgetting an address is more related to memory issues rather than language comprehension problems resulting from cerebral cortex trauma.