Nokea
Your patient attends to see you for a routine visit but mentions his problem dealing with gambling impulses. After probing further, you conclude that the patient is an at-risk gambler. He seems reluctant to admit and does not want to be referred for counselling. You affirm his gambling problem, and should take the following steps EXCEPT:
- A. Advice on limiting the money spent when gambling.
- B. Advice on reducing the time and days spent gambling.
- C. Berate him for his lack of self control.
- D. Discourage the notion of gambling as a means of making money.
Correct Answer: C
Rationale: Berating the patient is counterproductive and unprofessional; supportive strategies like limiting money and time are more effective.
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Patients of Asian Indian origin who use alternative medical treatments are most likely to subscribe to which of the following?
- A. Moxibustion
- B. Reiki
- C. Ayurvedic medicine
- D. Opium
Correct Answer: C
Rationale: Ayurvedic medicine is widely used in Indian culture for holistic healing.
Which model looks at how internal family relationships affect family functioning?
- A. Systems theory
- B. Narrative therapy
- C. Structural family therapy
- D. Social work case management
Correct Answer: C
Rationale: SFT specifically examines internal relational structures like boundaries and alignments.
Sucking and biting shows the stage
- A. Anal
- B. Oral
- C. Genital
- D. Latency
Correct Answer: B
Rationale: The oral stage (Freud, birth-1 year) involves sucking and biting.
A client's history documents that there have been examples of indirect self-destructive behavior. Which nursing assessment data supports this diagnosis?
- A. Client has attempted suicide on three other occasions.
- B. Reports of abusing alcohol since the age of 16.
- C. Client experiences episodes of hypoglycemia on a regular basis.
- D. While acknowledging suicidal thoughts, the client denies any plan.
Correct Answer: B
Rationale: The correct answer is B because reports of abusing alcohol since the age of 16 indicate a pattern of indirect self-destructive behavior. This behavior can lead to physical harm and other negative consequences. Option A directly mentions suicide attempts, not indirect behavior. Option C is unrelated to self-destructive behavior. Option D, while acknowledging suicidal thoughts, does not demonstrate a pattern of indirect self-destructive behavior like long-term alcohol abuse.
Which nursing statement describes the basis of the ethical theory called utilitarianism?
- A. The client has a right to make decisions based on what he wants and needs.'
- B. Every client deserves the care that I would want if I were in his situation.'
- C. I can't allow a client to smoke in the day room since it isn't healthy for the other clients.'
- D. The homeless need access to quality mental health care just as much as any other group.'
Correct Answer: C
Rationale: Rationale:
C is correct because it reflects the utilitarian principle of maximizing overall well-being. By preventing one client from smoking in the day room, the nurse is prioritizing the health and well-being of all clients in that space. This action aims to benefit the greatest number of individuals.
Incorrect Choices:
A: This statement reflects autonomy (ethical principle), not utilitarianism.
B: This statement reflects the golden rule (ethical principle), not utilitarianism.
D: This statement emphasizes equality and access to care, not the utilitarian principle of maximizing overall well-being.