Nokea
Which of the following options is not useful for reducing mental conflict?
- A. Stay away from the causes of conflict.
- B. Find out the exact causes of the conflict.
- C. Think about what's left out.
- D. Consult an adult.
Correct Answer: C
Rationale: Mental conflict refers to a state of inner turmoil or struggle that arises when an individual experiences opposing thoughts, desires, or emotions. Strategies useful for reducing mental conflict include avoiding triggers (A), understanding root causes (B), and seeking support (D). Thinking about what's left out (C) can lead to overthinking, increasing conflict rather than reducing it.
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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.
Individuals with Down Syndrome often have moderate to severe intellectual impairment with a measurable IQ usually between:
- A. 45-50
- B. 55-60
- C. 35-55
- D. 25-35
Correct Answer: C
Rationale: Down Syndrome: A disorder caused by an extra chromosome 21, characterized by intellectual impairment with IQ typically between 35-55.
When the family of a client who has been diagnosed with a dementia secondary to normal pressure hydrocephalus asks the nurse about prognosis, the nurse should reply:
- A. Unfortunately the prognosis is for a downhill course ending in death.'
- B. There will be good days and bad days for the rest of the client's life.'
- C. The symptoms usually remit after a shunt is inserted to drain fluid.'
- D. We'll try our very best, but only time will tell how successful we are.'
Correct Answer: C
Rationale: The correct answer is C because normal pressure hydrocephalus (NPH) symptoms typically improve after a shunt is inserted to drain the excess cerebrospinal fluid, leading to a better prognosis. This intervention can help alleviate symptoms such as gait disturbances, cognitive impairment, and urinary incontinence associated with NPH.
Choice A is incorrect as it inaccurately states that the prognosis is inevitably poor, which is not true for NPH with appropriate treatment. Choice B is incorrect because NPH symptoms can be effectively managed with treatment, so it is not accurate to say that there will always be good and bad days for the rest of the client's life. Choice D is incorrect as it does not provide specific information about the positive impact of shunt insertion on NPH symptoms and prognosis.
Bacteria, such as E. Coli, in our water can come from
- A. Factory run-off
- B. Car exhaust
- C. Human and animal feces
- D. Littering
Correct Answer: C
Rationale: E. Coli primarily originates from fecal contamination by humans or animals, making it a common water pollutant.
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.