Nokea
You are the Assistant Director of Nursing in a multiethnical and culturally diverse inner city acute care facility. You will be chairing a committee to develop a philosophy of nursing that addresses these facility characteristics and the characteristics of the clients. Which theoretical framework would you recommend that this committee should consider when addressing mutiethnicity and the culturally diverse nature of this facility for this philosophy?
- A. Jean Watson's
- B. Martha Rogers'
- C. Nagi's theory
- D. Madeleine Leininger's theory
Correct Answer: D
Rationale: Leininger's theory (D) focuses on cultural care diversity.
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Nurse Jones decides to tell the client of his terminal status because she believes it is her duty to do so. Which of the following ethical theories is considered in this decision?
- A. Natural law theories
- B. Ethical egoism
- C. Kantianism
- D. Utilitarianism
Correct Answer: C
Rationale: Nurse Jones acts out of a sense of duty, which reflects Kantianism's focus on moral obligations and duty-based ethics, aligning with option c.
The treatment team plans care for a person diagnosed with paranoid schizophrenia and cannabis abuse. The person has recently used cannabis daily and is experiencing increased hallucinations and delusions. Which principle applies to care planning?
- A. Consider each diagnosis primary and provide simultaneous treatment.
- B. The person will benefit from treatment in a residential treatment facility.
- C. Withdraw the person from cannabis, and then treat the symptoms of schizophrenia.
- D. Treat the schizophrenia first, and then establish the goals for the treatment of substance abuse.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Dual diagnosis: Simultaneous treatment is crucial as both conditions impact each other.
2. Cannabis withdrawal may worsen schizophrenia symptoms, so treating both concurrently is essential.
3. Addressing both diagnoses concurrently increases treatment effectiveness.
4. Residential treatment may not be necessary at this stage without considering simultaneous treatment.
Summary:
B: Residential treatment may not be needed immediately; focus on simultaneous treatment.
C: Withdrawal may worsen schizophrenia symptoms; treating both conditions concurrently is preferable.
D: Treating schizophrenia first may not address the immediate exacerbation of symptoms due to cannabis use.
The mentally retarded can be gainfully placed in the work in three situations i.e. selfemployment, ----------------employment and open employment:
- A. Sheltered
- B. Protected
- C. Cushy
- D. Comfortable
Correct Answer: A
Rationale: Sheltered employment provides a supportive work setting for those with intellectual disabilities.
Nursing advocacy directed towards eliminating the stigma attached to mental illness is based on the fact that:
- A. Stigmatization only serves to increase the stress felt by the mentally ill.
- B. No one is immune to mental illness or emotional problems.
- C. Mental illness is often chronic and incurable.
- D. The mentally ill deserve our support.
Correct Answer: B
Rationale: The correct answer is B because it highlights the universal susceptibility to mental illness, emphasizing the importance of advocacy to reduce stigma. Mental health issues can affect anyone regardless of age, gender, or background. By acknowledging this, nurses can advocate for increased understanding and support for those struggling with mental illness.
A: While stigmatization does increase stress, this does not directly explain the basis for nursing advocacy.
C: Mental illness being chronic does not explain the rationale behind advocating to eliminate stigma.
D: While the mentally ill deserve support, this choice does not address the underlying reason for advocacy focused on stigma reduction.
he theorist who believes that human have potential is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: B
Rationale: Carl Rogers' humanistic theory emphasizes human potential for growth.