Nokea
Which of the following reflects Piaget’s theory in young adults?
- A. Voting for a candidate based on popularity
- B. Voting for a candidate based on media advertisements
- C. Voting for a candidate based on support from peers
- D. Voting for a candidate based on analysis of views about various issues
Correct Answer: D
Rationale: In Piaget’s formal operational stage, young adults analyze issues objectively before making decisions.
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A 2-year-old Asian American boy is being seen for an office visit. While examining the child, the nurse notices round bruises on his back. The mother does not volunteer any information during the exam. Which of the following actions should the nurse take after examining the child?
- A. Report the suspected child abuse to the Department of Children and Families
- B. Assume the bruises are the result of a fall
- C. Ask the mother about the bruises
- D. Schedule a follow-up appointment in 2 weeks to see if the bruises are still present
Correct Answer: C
Rationale: The nurse should ask the mother directly about the bruises, considering cultural practices like coining, which may cause bruising.
Which of the following statements can be identified as a method for clarifying a message?
- A. “I get very upset when you talk to me in that tone.”
- B. “You make me very angry when you drink alcohol.”
- C. “I can make you happy. I know I can.”
- D. “What I want from you is to be left alone!”
Correct Answer: A
Rationale: Using "I" statements helps clarify and qualify the message, making it more direct and less accusatory.
Within a community there is an elevated high-school dropout rate and its high school students are experiencing a decreased sense of self-worth. Based on this data, the community is at highest risk to experience an alteration in which of the following functional health patterns?
- A. Self-perception–self-concept pattern
- B. Role-relationships pattern
- C. Cognitive-perceptual pattern
- D. Sexuality-reproduction pattern
Correct Answer: A
Rationale: Decreased self-worth in students correlates with issues in the self-perception–self-concept pattern, impacting the community's overall well-being.
A nurse is providing care to a 15-year-old female diagnosed with an STI. What should the nurse do next?
- A. Seek advice from an ethics expert.
- B. Facilitate interaction between the adolescent and her parents/guardians.
- C. Report the STI to the authorities.
- D. Contact the adolescent’s parents/guardians.
Correct Answer: B
Rationale: The nurse should facilitate a discussion between the adolescent and her parents, respecting the adolescent’s privacy and autonomy.
A nurse is educating a person about the process of cognitive restructuring. Which of the following actions should be taken at the end of this process?
- A. Take a deep breath.
- B. Select a realistic alternative thought.
- C. Reflect on the situation.
- D. Stop generating negative thoughts.
Correct Answer: B
Rationale: The most effective approach to restructuring thought patterns is to first stop generating negative thoughts, then take a deep breath to relax, then think about how the thought process is affecting well-being, and last, select a new realistic thought pattern to replace the negative thought pattern.