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Which question asked by the nurse best serves as a screening tool for the assessment of a possible problem with alcohol abuse?
- A. When was the last time you drank alcohol?'
- B. Is there a history of alcohol abuse in your immediate family?'
- C. How old were you when you had your first drink of alcohol?'
- D. In the last year, did you ever drink more alcohol than you intended to?'
Correct Answer: D
Rationale: The correct answer is D because it directly assesses the individual's control over alcohol consumption, a key indicator of potential alcohol abuse. By asking if the person has ever consumed more alcohol than intended in the last year, the nurse can gauge if there are issues with self-regulation and potential abuse. Choices A, B, and C focus on past behaviors or family history, which are important but do not directly address current patterns of alcohol consumption and potential abuse.
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A therapeutic milieu is:
- A. A safe environment of care that is conducive to the prevention of medical errors.
- B. A client care area that provides personal privacy and the confidentiality of medical information.
- C. A European method of design and color to promote health and wellness.
- D. The provision of a therapeutic environment of consistency to promote health.
Correct Answer: D
Rationale: A therapeutic milieu (D) promotes health through consistency.
he theorist who believes that human have free will is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: B
Rationale: Carl Rogers' humanistic theory emphasizes free will and agency.
When it is suggested that a stress management therapy group have its membership limited to 15 participants, the nurse manager responds:
- A. That is really too many people; enroll only the first 7 who demonstrate a genuine interest in attending.'
- B. OK, but stop enrollment at 15; chances are excellent that not everyone who signed up will end up attending.'
- C. Well, 15 is a lot but it is manageable if the individuals include spouses, family members, siblings, or even long-term partners.'
- D. The maximum number that supports therapeutic work is 10; we can create two separate groups if we have that much interest in the service.'
Correct Answer: D
Rationale: The correct answer is D because it addresses the need for effective therapeutic work. By stating that the maximum number supporting therapeutic work is 10, it indicates an understanding of group dynamics and ensures each member receives adequate attention and participation in the group process. Creating two separate groups if there is more interest demonstrates flexibility while maintaining the quality of the therapy sessions.
A: This answer limits enrollment based on interest, which may not necessarily correlate with the effectiveness of the therapy group.
B: This answer assumes that not everyone who signs up will attend, which does not address the issue of group dynamics and therapeutic effectiveness.
C: This answer suggests including additional individuals beyond the 15 limit, which could lead to overcrowding and hinder the therapeutic process.
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.
The difference between child abuse and child neglect is:
- A. Abuse is done on purpose; neglect is accidental.
- B. Abuse is an act of commission; neglect is an act of omission.
- C. Abuse is a crime; neglect is not.
- D. Children are often afraid to report abuse, but are willing to report neglect.
Correct Answer: B
Rationale: Abuse is purposeful mistreatment of another (therefore commission) and neglect is deprivation that is an omission of needed care.