Nokea
You are the supervising nurse in a physical rehabilitation center that has the philosophy that clients have the need to cope with their disabilities and its limitations are the result of a discrepancy between the client's abilities and the limitations of the physical and social environment within which the client lives. Which model of disability is this philosophy based on?
- A. Orem's Self Care Model
- B. Nagi's Model
- C. A cognitive model of disability
- D. A biomedical model of disability
Correct Answer: B
Rationale: Nagi's Model (B) focuses on ability-environment discrepancies.
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If it is the right of the patient to decide whom to disclose personal medical information to, how should the physician respond when requested to withhold information about a diagnosis from family members?
- A. Attempt to convince the patient to tell his/her family of their diagnosis
- B. Ignore the patient's request and ask to have a family conference
- C. Accept the patient's wishes without further discussion
- D. Initiate further discussion and help the patient identify a surrogate decision maker
Correct Answer: D
Rationale: Discussion respects autonomy while preparing for future decision-making needs.
The initial step in providing effective mental health-focused public health services is:
- A. Securing adequate funding to support needed psychiatric services.
- B. Identifying key providers to assure the delivery of required services.
- C. Surveying the targeted community to identify needs of the high-risk groups.
- D. Recruiting community leaders to provide support for utilization of provided services.
Correct Answer: C
Rationale: The correct answer is C because surveying the targeted community helps identify specific mental health needs and high-risk groups. This information is crucial for tailoring services effectively. Securing funding (A) is important but comes after understanding community needs. Identifying key providers (B) is necessary but should follow community assessment. Recruiting leaders (D) is helpful but not as essential as understanding community needs. In summary, option C is correct as it lays the foundation for designing appropriate mental health services.
Girls mature than boys.
- A. Slower
- B. Faster
- C. Both of these
- D. None of these
Correct Answer: B
Rationale: Girls typically reach physical and cognitive maturity faster than boys, especially in early development.
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.
The Mini Mental State Exam is most appropriately used when the:
- A. Focus of the exam is the client's cognitive function.
- B. Interview must be completed in 10 minutes or less.
- C. Client is agitated and unwilling to complete the full version.
- D. Test is meant to establish a client's mood at the time of admission.
Correct Answer: A
Rationale: The correct answer is A because the Mini Mental State Exam is specifically designed to assess a client's cognitive function, including orientation, memory, attention, and language skills. This makes it ideal for evaluating cognitive impairment, dementia, and other neurological conditions. The other choices are incorrect because B focuses on time constraints rather than the purpose of the exam, C addresses behavioral issues rather than assessment goals, and D pertains to mood assessment rather than cognitive function evaluation. Therefore, A is the best choice for the appropriate use of the Mini Mental State Exam.