Nokea
Which of these is not a pitfall of Ecosystems Theory?
- A. May value the status quo and avoid any real change to avoid disruptions within the family or to ensure stability
- B. Existing circumstances may be accepted as givens. The focus may be to make adjustments within those limits, instead of challenging the limits.
- C. One must master many interventive skills to address issues at all system levels which is not realistic.
- D. There is an inattention to power differences in family and in the community regarding interpretations
Correct Answer: D
Rationale: Attention to power differences is a strength, not a pitfall, of ecosystems theory.
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Which of the following is an effective way to address cultural issues about personal contact in a clinical care setting?
- A. Be considerate of the patient's requests not to be touched
- B. Attempt to accommodate the patient's requests whenever possible, while providing medically appropriate care
- C. Identify a chaperone and override the patient's requests in order to expedite their care
- D. Ask that a family member remain at the bedside at all times to oversee patient care
Correct Answer: B
Rationale: Accommodation balances cultural sensitivity with medical necessity.
According to the 'Self Determination Theory' of Ryan and Deci (2000), life satisfaction derives from the fulfillment of three fundamental psychological needs. These are autonomy, relatedness, and:
- A. Success
- B. Love
- C. Excellence
- D. Competence
Correct Answer: D
Rationale: Self-Determination Theory (Ryan & Deci, 2000) includes autonomy, relatedness, and competence.
How many mLs will you administer to the client after you use 3.3 mL of normal saline to reconstitute a medication that will yield 12 mg per mL and the doctor's order is as follows. Doctor's order: 25 mg of medication BID
- A. 1.9 mL
- B. 2.0 mL
- C. 2.5 mL
- D. 2.1 mL
Correct Answer: D
Rationale: 25 mg / 12 mg/mL = 2.083 mL, rounded to 2.1 mL (D) per dose.
The nurse contributed to a staff education program about transmission precautions to use when caring for a patient who has AIDS. Which statement by a staff member indicates a correct understanding of the teaching?
- A. Wear a mask for any patient contact.'
- B. Wear a waterproof gown at all times.'
- C. Wear clean gloves for body fluid contact.'
- D. Wear sterile gloves for any patient contact.'
Correct Answer: C
Rationale: The correct answer is C: "Wear clean gloves for body fluid contact." This is correct because wearing clean gloves when coming into contact with body fluids is essential to prevent the transmission of infections like AIDS. Sterile gloves are not necessary for routine patient care, and wearing a mask or waterproof gown is not indicated unless there is a specific risk of droplet or airborne transmission. Thus, the staff member demonstrating an understanding of using clean gloves for body fluid contact shows knowledge of proper transmission precautions for caring for a patient with AIDS.
he Montessori approach believes that discipline is
- A. Imposed
- B. Self-imposed
- C. Punitive
- D. External
Correct Answer: B
Rationale: Montessori fosters self-imposed discipline through independence and responsibility.