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Which of the following may be the most effective approach to ensure good communication with a large family of a hospitalized patient?
- A. Ask the family to choose an individual to be the point of contact with the health care team
- B. Appoint the person who spends the most time at the patient's bedside to be the point of contact with the health care team
- C. Listen to each family member's individual concerns
- D. Arrange a daily meeting with the entire family to discuss the patient's health care
Correct Answer: A
Rationale: A single point of contact streamlines communication while respecting family involvement.
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Registered nurses care for clients in many settings and environments. These clients can be individual clients, couples, families, populations and communities. You have decided to use the Dimensions Model of Health model to assess, monitor and evaluate the health status of the community. Which of these dimensions is NOT an element of this Dimensions Model of Health model?
- A. The Biophysical Dimension
- B. The Psychological and Emotional Dimension
- C. The Spiritual Dimension
- D. The Health Systems Dimension
Correct Answer: D
Rationale: Health Systems is not a dimension in this model.
A home visiting psychiatric program focuses on pregnant women who have been diagnosed with depression. The success of the intervention is best demonstrated by a client's:
- A. Ability to manage her gestational diabetes well through diet and exercise.
- B. Statement, 'It's nice to think that I will have a baby of my very own.'
- C. Willingness to take her antidepressant medications as prescribed.
- D. Regular attendance at a series of birthing preparation classes.
Correct Answer: D
Rationale: The correct answer is D because regular attendance at birthing preparation classes directly reflects engagement with the psychiatric program designed for pregnant women with depression. Attending these classes demonstrates the client's commitment to seeking support and education for her mental health and pregnancy. It also indicates active participation in a structured intervention aimed at improving overall well-being. Choices A, B, and C are incorrect because they do not directly measure the success of the psychiatric program in addressing the client's depression during pregnancy. Choice A focuses on physical health, choice B reflects emotional sentiment, and choice C pertains to medication adherence, which are important but not direct indicators of the intervention's success in treating depression during pregnancy.
The psychological test that measures motivation is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: D
Rationale: TAT reveals underlying motives through story responses.
To support Level 1 families, a practitioner should first...
- A. Identify any mental health issues
- B. Mobilize support for the ineffective executive or parental system
- C. Develop a coalition of those in charge vs those needing control
- D. Case manage to meet basic needs for food, health, shelter, protection
Correct Answer: D
Rationale: Level 1 families often face immediate survival needs, so addressing basic requirements like food, shelter, and safety is the foundational step before other interventions can be effective.
Name some paradoxical ways in which people resist oppression.
- A. Violence, protests, and legal action
- B. Passive resistance, humor, community strength
- C. Submission, obedience, and silence
- D. Manipulation, deceit, and coercion
Correct Answer: B
Rationale: Passive resistance, humor, and community-building are paradoxical as they appear weak but defy control effectively.