Nokea
Which of the following is one reason given that more women than men are treated for psychological problems?
- A. Women are subject to greater stress than men
- B. As a result of cultural norms, women may be more willing to admit distress
- C. Some forms of mental disorders are sex-linked recessive
- D. Developmental tasks required of women are far more difficult than those required of men
Correct Answer: B
Rationale: Cultural norms often make women more likely to seek help, contributing to higher treatment rates.
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A patient reports, 'My brain is tapped by government agents who can trace my whereabouts and listen to my thoughts.' An appropriate nursing response to this information would be:
- A. Your story is very strange and too bizarre for me to believe.'
- B. Tell me why you think your brain is being tapped.'
- C. What was happening in your life just before you began to think your brain was tapped?'
- D. Are you feeling frightened or angry about the government violating your body?'
Correct Answer: C
Rationale: The correct response is C because it focuses on exploring the underlying reasons for the patient's belief, which can help uncover any triggers or stressors leading to the delusion. This approach shows empathy, builds rapport, and encourages the patient to share more about their experiences. Choice A is dismissive and may cause the patient to feel invalidated. Choice B only focuses on the belief itself without delving deeper into the context. Choice D jumps to assumptions about the patient's emotions without addressing the core issue of the delusion. Overall, choice C promotes therapeutic communication and understanding of the patient's perspective.
The first step in the treatment of incest is to:
- A. believe the child who reports the activity
- B. notify the proper authorities
- C. objectively confront the accused family member
- D. remove the child from the home
Correct Answer: A
Rationale: Believing the child establishes trust and validates their experience, forming the foundation for further protective and therapeutic actions.
A 35-year-old woman is being assessed related to suspected battering. In interviewing this patient, it is important for the nurse to keep in mind that: (Select all that apply.)
- A. The nurse's demeanor should be one of concern and caring.
- B. Professional terminology should be used and taught to the patient.
- C. All noted injuries should be thoroughly and explicitly documented.
- D. None of the above.
Correct Answer: A
Rationale: The correct answer is A because when assessing a patient related to suspected battering, the nurse should demonstrate concern and caring to establish trust and encourage the patient to open up. This approach helps build rapport and facilitates communication, leading to a more accurate assessment and better support for the patient. Choice B is incorrect because using professional terminology might intimidate the patient and hinder effective communication. Choice C is incorrect because documenting injuries without sensitivity and consideration for the patient's emotional well-being can further traumatize the individual. Choice D is incorrect as the nurse's demeanor and approach are crucial in addressing cases of suspected battering.
A client with dementia was admitted to a dementia unit after she began persistently wandering away from home. The nursing staff should plan to:
- A. Provide unlimited freedom because the client has no place to go in the new neighborhood
- B. Provide one-to-one supervision when the client is ambulatory
- C. Place the client in a geriatric chair with a tray across the lap
- D. Provide the client with an electronic alarm that sounds when the client nears the exit door
Correct Answer: D
Rationale: The correct answer is D because providing the client with an electronic alarm that sounds when she nears the exit door is the best option to ensure her safety. This approach allows for monitoring without restricting her movement excessively. Choice A is incorrect as unlimited freedom poses risks. Choice B is not practical or feasible long-term. Choice C is not person-centered and may lead to discomfort and agitation. The electronic alarm in choice D is the most effective and least intrusive method to prevent wandering while respecting the client's autonomy.
Attention Deficit Hyperactivity Disorder (ADHD) is equally common in boys and girls
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: ADHD is more commonly diagnosed in boys than girls, though it affects both genders.