Nokea
Which of the following impacts on the client's preferences in terms of hygiene routines and practices?
- A. Culture
- B. Locus of control
- C. Bodily surface area
- D. Diaphoresis
Correct Answer: A
Rationale: Culture (A) significantly influences hygiene practices.
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The most appropriate nursing intervention with Jenny (from question 5) would be to:
- A. Make arrangements for her to start attending Alateen meetings.
- B. Help her identify the positive things in her life and recognize that her situation could be a lot worse than it is.
- C. Teach her about the effects of alcohol on the body and that it can be hereditary.
- D. Refer her to a psychiatrist for private therapy to learn to deal with her home situation.
Correct Answer: A
Rationale: The correct answer is A because Alateen meetings provide support and understanding for teenagers living with family members struggling with alcoholism. Attending these meetings can help Jenny feel less alone, gain coping strategies, and build a support network with peers in similar situations.
Choice B is incorrect as it minimizes Jenny's struggles and may invalidate her feelings. Choice C focuses on the biological aspect of alcoholism, which may not address Jenny's emotional needs. Choice D involves a referral to a psychiatrist for private therapy, which may not provide the peer support and understanding that Alateen meetings can offer.
One of the significant assumptions of ethnic sensitive practice includes ethnicity as a source of strain, discordance, and strife, as well as a source of cohesion, identity, and strength.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Ethnicity is seen as dual-natured, offering both challenges and strengths in family dynamics.
All of the following are pitfalls of the Social Constructionist Perspective except:
- A. Seeing any interpretation as being good as any other
- B. Lack of emphasis on shifts from actions to meanings, from expertise to collaboration
- C. Inattention to power differences in family and community regarding interpretations
- D. Assuming that social constructionism has all the answers and that they are the best
Correct Answer: B
Rationale: Shifting to meanings and collaboration is a strength, not a pitfall, of this perspective.
Which of the following actions demonstrates that the nurse has an understanding of the impact that continued advancements in psychopharmacology has on both client outcomes and professional psychiatric nursing practice?
- A. Working towards achieving advanced practice nursing credentials in psychiatric nursing
- B. Stressing the importance of medication therapy compliance with each client upon discharge
- C. Participating in interdisciplinary treatment teams as a means of staying current regarding the latest clinical treatments and guidelines
- D. Accessing information on the best evidence-based practices regarding the psychopharmacology medications being prescribed to his or her clients
Correct Answer: D
Rationale: Step-by-step rationale for why Answer D is correct:
1. Accessing information on evidence-based practices shows the nurse's commitment to staying informed about psychopharmacology advancements.
2. Being knowledgeable about medications helps in making informed decisions for client care, ultimately leading to better outcomes.
3. Understanding evidence-based practices enhances the nurse's ability to provide safe and effective medication management.
4. By accessing information on best practices, the nurse demonstrates a proactive approach to enhancing professional psychiatric nursing practice.
Summary:
Answer D is correct because it directly addresses the impact of advancements in psychopharmacology on client outcomes and professional psychiatric nursing practice by emphasizing the importance of staying informed and using evidence-based practices. Other choices do not specifically highlight the nurse's understanding of the impact of psychopharmacology advancements.
Andrew, a New York City firefighter, and his entire unit responded to the terrorist attacks at the World Trade Center. Working as a team, he and his best friend, Carlo, entered the area together. Carlo was killed when the building collapsed. Andrew was injured, but survived. Since that time, Andrew has had frequent nightmares and anxiety attacks. He says to the mental health worker, 'I don’t know why Carlo had to die and I didn’t!' This statement by Andrew suggests that he is experiencing:
- A. Spiritual distress
- B. Night terrors
- C. Survivor’s guilt
- D. Suicidal ideation
Correct Answer: C
Rationale: The correct answer is C: Survivor's guilt. Andrew's statement indicates feelings of guilt and confusion about why he survived while Carlo did not. Survivor's guilt is a common psychological response in individuals who have lived through a traumatic event where others did not. Andrew's frequent nightmares and anxiety attacks are also typical symptoms of survivor's guilt.
A: Spiritual distress is not the correct answer in this scenario as Andrew's statement does not specifically reference any spiritual or religious beliefs or conflicts.
B: Night terrors may be a symptom of Andrew's PTSD, but his statement about not understanding why he survived while Carlo did not suggests a deeper emotional struggle beyond just experiencing night terrors.
D: Suicidal ideation is not the correct answer as Andrew's statement does not indicate any desire or intention to harm himself. Rather, he is expressing confusion and guilt about surviving the traumatic event.