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You have been conducting a weekly outpatient stress management educational series for clients in the community who are hypertensive. The best way to evaluate the effectiveness of this educational series is to:
- A. Collect baseline blood pressure readings prior to the beginning of this educational series and then collect and compare blood pressure data during the series and after the series is completed.
- B. Collect baseline blood pressure readings prior to the beginning of this educational series and then collect and compare blood pressure data after the series is completed.
- C. Ask the clients how often they use the stress management techniques that they have learned during this educational series.
- D. Use a questionnaire at the end of the series that asks the participants how they liked the class and what they learned during this educational series.
Correct Answer: B
Rationale: Pre- and post-series blood pressure (B) objectively measures effectiveness.
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An adult diagnosed with schizophrenia lives with elderly parents. The patient was recently hospitalized with acute psychosis. One parent is very anxious, and the other is ill because of the stress. Which nursing diagnosis is most applicable to this scenario?
- A. Ineffective family coping related to parental role conflict
- B. Caregiver role strain related to the stress of chronic illness
- C. Impaired parenting related to patients repeated hospitalizations
- D. Interrupted family processes related to relapse of acute psychosis
Correct Answer: B
Rationale: Caregiver role strain refers to a caregivers felt or exhibited difficulty in performing a family caregiver role. In this case, one parent exhibits stress-related illness and the other exhibits increased anxiety. The other nursing diagnoses are not substantiated by the information given and are incorrectly formatted [one nursing diagnosis should not be the etiology for another].
Select the sound that is heard with percussion with its description.
- A. Tympany: A hollow sound
- B. Dullness: A thud like sound
- C. Dullness: A hollow sound
- D. Resonance: A booming sound
Correct Answer: B
Rationale: Dullness (B) produces a thud-like sound.
The organized set of information that the individual carries in his/her head about what the general expectation and attitudes of the social group are, is called
- A. Generalized others
- B. Exaggerating
- C. Looking glass self
- D. Minding
Correct Answer: A
Rationale: The generalized other (Mead) is internalized societal expectations.
Research problem is selected from the standpoint of:
- A. Social relevance
- B. Financial support
- C. Researcher's interest
- D. Availability of relevant literature
Correct Answer: A
Rationale: Research problems are ideally chosen for their social relevance, addressing impactful issues.
Which of the following is a feature of ARMS (at risk mental state)?
- A. Aged 14 to 30.
- B. Attenuated psychotic symptoms.
- C. Limited intermittent psychotic symptoms.
- D. All of the above
Correct Answer: D
Rationale: ARMS includes all these features: a specific age range, attenuated or brief psychotic symptoms, and family history, identifying individuals at high risk.