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Your patient, who has reported domestic violence, now tells you she is going home with her husband because he has apologized and says he is taking her to Hawaii on a romantic vacation. Which statement best helps you understand her actions?
- A. Her husband has received treatment for anger management.
- B. This is the honeymoon phase of the abuse cycle.
- C. This is the resolution phase of the family crisis.
- D. She mistakenly reported domestic violence.
Correct Answer: B
Rationale: The honeymoon phase is part of the domestic violence cycle when the abuser shows repentance for his violence. The patient remains hopeful, but without treatment the cycle will continue.
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Mrs Wang is a retired teacher and used to take trips on cruise ships with her friends to gamble at the casino. She now goes to the local casino every other day by herself and is preoccupied with gambling. Her problem surfaced when she was caught on the closed circuit camera for trying to steal casino chips. Her husband was at a loss and reports that she keeps talking about gambling and boasts to her friends about the large amounts she places per bet. Her luck has turned for the worse, but she insists on going back to 'recoup' her losses. She has pawned most of her jewelry, stopped seeing her friends, and lies to her family about the amounts she has lost. Mrs Wang has features of a
- A. Social gambler.
- B. At risk gambler.
- C. Problem gambler.
- D. Pathological gambler.
Correct Answer: D
Rationale: Mrs. Wang's preoccupation, theft, financial loss, and deceit indicate pathological gambling, a severe disorder per DSM-5 criteria.
Reinforcer function as a reward
- A. Primary
- B. Secondary
- C. Both
- D. None of these
Correct Answer: C
Rationale: Primary (innate) and secondary (learned) reinforcers reward behavior.
In ------Preschool-age children 3-5 years old also make steady progress:
- A. Cognitive development
- B. Emotional development
- C. Physical development
- D. Social development
Correct Answer: D
Rationale: Preschoolers (3-5 years) show significant social development, per Erikson's initiative vs. guilt stage.
Which of the following may be the most effective approach to ensure good communication with a large family of a hospitalized patient?
- A. Ask the family to choose an individual to be the point of contact with the health care team
- B. Appoint the person who spends the most time at the patient's bedside to be the point of contact with the health care team
- C. Listen to each family member's individual concerns
- D. Arrange a daily meeting with the entire family to discuss the patient's health care
Correct Answer: A
Rationale: A single point of contact streamlines communication while respecting family involvement.
The lack of necessary supplies and equipment to adequately and safely care for patients is an example of a (n):
- A. Sentinel event.
- B. System variance.
- C. Adverse effect.
- D. Provider variance.
Correct Answer: B
Rationale: System variances involve deficiencies in resources or processes.