Nokea
Which statement describes the basis of an ethical dilemma?
- A. It's so difficult when the client doesn't agree with the treatment team.'
- B. The client insists on behaving in a manner that will likely cause him injury.'
- C. It's difficult to determine who makes decisions for an incompetent client without a medical surrogate.'
- D. There are only two treatment choices; both are very painful and neither has a high rate of success.'
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct:
1. An ethical dilemma involves a situation where there is a conflict between two morally acceptable choices.
2. In this scenario, the dilemma is presented as having only two treatment choices which are both painful and have low success rates.
3. The basis of an ethical dilemma is the difficulty in making a decision when faced with two undesirable options.
4. Therefore, option D accurately describes the essence of an ethical dilemma.
Summary of why other choices are incorrect:
A. Focuses on client-team disagreement, not a true ethical dilemma.
B. Describes a situation of potential harm but not a conflict between two morally acceptable choices.
C. Discusses decision-making for an incompetent client, which is a different ethical issue than presented in the question.
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The Montessori approach includes
- A. Mixed age classrooms
- B. Structured curriculum
- C. Direct instructions
- D. Uniformed lessons
Correct Answer: A
Rationale: Mixed-age classrooms in Montessori foster peer learning.
Which of the following statements is true about the nature of acculturation?
- A. High levels lead to better health
- B. Lower levels lead to better health
- C. Differing patterns within families may lead to intergenerational conflict
- D. Levels are influenced mostly by length of time in the U.S.
Correct Answer: C
Rationale: Differing acculturation within families often causes conflict, affecting health dynamics.
What is the long-term benefit of successfully implementing a constructive coping mechanism?
- A. Similar stressors will no longer have a negative affect in the future.
- B. One's ability to avoid stressors in the future is greatly improved.
- C. Stress is no longer viewed as a barrier to future happiness and success.
- D. Confidence in one's ability to manage stress in the future is reinforced.
Correct Answer: D
Rationale: The correct answer is D because successfully implementing a constructive coping mechanism reinforces confidence in managing stress in the future. It helps individuals develop resilience and adaptability, leading to better stress management skills. Choice A is incorrect as stressors can still impact individuals, but they are better equipped to handle them. Choice B is incorrect because avoiding stressors doesn't address the root cause of stress. Choice C is incorrect as stress can still pose challenges, but individuals can navigate them effectively with coping strategies.
What differentiates the Psychiatric-Mental Health Registered Nurse (RN-PMH) from the Psychiatric-Mental Health Advanced Practice Registered Nurse (APRN-PMH)?
- A. Only the APRN-PMH is responsible for milieu management.
- B. The APRN-PMH exercises a greater degree of autonomy when providing care.
- C. Only the RN-PMH provides medication education to the client.
- D. The RN-PMH has less experience working with the mentally ill.
Correct Answer: B
Rationale: The correct answer is B: The APRN-PMH exercises a greater degree of autonomy when providing care. This is because an Advanced Practice Registered Nurse (APRN-PMH) has advanced education and training, allowing them to diagnose, prescribe medications, and provide comprehensive psychiatric care independently. This higher level of autonomy distinguishes them from Registered Nurses (RN-PMH) who work under the supervision of APRNs or physicians.
Incorrect choices:
A: Only the APRN-PMH is responsible for milieu management - Incorrect, as RN-PMH can also be responsible for milieu management in psychiatric settings.
C: Only the RN-PMH provides medication education to the client - Incorrect, as APRN-PMH can also provide medication education.
D: The RN-PMH has less experience working with the mentally ill - Incorrect, as experience levels can vary among individuals regardless of their title as RN-PMH or APRN-PMH.
The most appropriate nursing intervention with Ginger (from question 7) would be to:
- A. Suggest she move to a college closer to home.
- B. Work with Ginger on unresolved dependency issues.
- C. Help her find someone in the college town from whom she could seek assistance rather than calling her mother regularly.
- D. Recommend that the college physician prescribe an antianxiety medication for Ginger.
Correct Answer: B
Rationale: The correct answer is B: Work with Ginger on unresolved dependency issues. This is the most appropriate nursing intervention because it addresses the underlying problem that is leading Ginger to excessively rely on her mother for support. By working with Ginger on resolving her dependency issues, the nurse can help her develop healthier coping mechanisms and improve her independence.
A: Suggest she move to a college closer to home - This does not address the root cause of Ginger's dependency issues and may not be a feasible or necessary solution.
C: Help her find someone in the college town from whom she could seek assistance rather than calling her mother regularly - While this option offers an alternative support system, it does not address the core issue of dependency that Ginger is experiencing.
D: Recommend that the college physician prescribe an antianxiety medication for Ginger - Medication may be helpful in managing symptoms, but it does not address the underlying dependency issues that Ginger is facing.