Which patient statement would not be considered a potential risk factor for family-directed violence?
- A. My parents certainly believed 'spare the rod, spoil the child.'
- B. My parents are ashamed that I had to get a part-time job to help buy food.'
- C. My family thinks I'm just a burden, but they'll be sorry that they felt that way.'
- D. When my spouse gets upset he tells me I'm no longer attractive because I've gained weight.'
Correct Answer: B
Rationale: The correct answer is B because having to get a part-time job to help buy food may indicate financial strain within the family but does not directly relate to family-directed violence. Choice A indicates a potential history of physical discipline, which is a risk factor for violence. Choice C suggests feelings of resentment and potential retaliation, indicating a risk factor. Choice D hints at emotional abuse through manipulation and body shaming, also a risk factor. Therefore, B is the only statement that does not directly indicate a risk factor for family-directed violence.
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Select the central concept around which a family education plan for preventing childhood eating problems is constructed:
- A. Promoting self-demand feeding for the child.
- B. Distinguishing between physical and psychological hunger.
- C. Scheduling meals because children do not recognize physical hunger.
- D. Parental expectations of ideal intake as determinants of healthy eating habits.
Correct Answer: A
Rationale: The correct answer is A: Promoting self-demand feeding for the child. This approach encourages the child to listen to their own hunger cues and regulate their food intake accordingly, promoting a healthy relationship with food. It empowers the child to develop autonomy and self-awareness around eating habits.
Explanation for why the other choices are incorrect:
B: While distinguishing between physical and psychological hunger is important, it is not the central concept for preventing childhood eating problems.
C: Scheduling meals may not align with the child's natural hunger cues and can potentially lead to disordered eating patterns.
D: Parental expectations can create pressure around eating, potentially leading to negative relationships with food.
A client with a borderline personality disorder tells the nurse, 'My doctor tells me there's something wrong with the hard wiring of my brain, and that's why I'm so impulsive and get so many mood swings. He said he's going to prescribe some medication.' Being aware of current practice guidelines, the nurse will prepare a teaching plan for:
- A. Lithium
- B. Fluoxetine
- C. Lorazepam
- D. Haloperidol
Correct Answer: B
Rationale: The correct answer is B: Fluoxetine. In the context of borderline personality disorder, fluoxetine, a selective serotonin reuptake inhibitor (SSRI), is often used to manage symptoms such as mood swings and impulsivity. SSRIs help regulate serotonin levels in the brain, which can improve mood stability and reduce impulsive behaviors.
- A: Lithium is typically used for bipolar disorder, not borderline personality disorder.
- C: Lorazepam is a benzodiazepine used for anxiety or panic disorders, not specific to treating symptoms of borderline personality disorder.
- D: Haloperidol is an antipsychotic medication used for psychosis, not typically indicated for managing impulsivity or mood swings in borderline personality disorder.
Which of the following is characteristic of a dissociative disorder?
- A. phobic disorder
- B. amnesia
- C. paranoia
- D. depression
Correct Answer: B
Rationale: Dissociative disorders feature disruptions like amnesia, distinguishing them from phobias or paranoia.
Sensory experiences that occur in the absence of a stimulus are called
- A. illusions
- B. hallucinations
- C. delusions
- D. affect episodes
Correct Answer: B
Rationale: Hallucinations are perceptions without stimuli, distinct from illusions (misinterpretations).
The average time that a person with Alzheimer's disease lives after diagnosis is:
- A. 2 years
- B. 8 years
- C. 10 years
- D. 20 years
Correct Answer: B
Rationale: The correct answer is B: 8 years. Alzheimer's disease typically progresses slowly, with individuals living an average of 8 years after diagnosis. This is due to the degenerative nature of the disease, leading to gradual decline in cognitive function. Choice A (2 years) is too short for Alzheimer's progression. Choice C (10 years) is close but slightly overestimates the average. Choice D (20 years) is too long, as Alzheimer's typically does not allow for such a long survival time post-diagnosis. Therefore, B is the most accurate option based on the typical progression and outcomes of Alzheimer's disease.
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