The community psychiatric nurse makes a home visit to see a client who is scheduled to receive
home care.
The nurse notes the client and family make poor eye contact and that the client and all
members of the family deferred to the father to answer questions during the visit. In what sphere
does the explanation for this observation probably reside?
a. Physical
b. Cultural
c. Environmental
d. Psychopathological
ANS: B
Eye contact and family patterns of authority are often culturally determined. The other options are
much less likely to provide a plausible explanation of the observation. Option A: All parties are
physically able to communicate. Option C: The environment is identical for all possible speakers.
Option D: No mention of psychopathology for any family members is given.
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The nurse asks the patient to raise the arm outward to the side from beside the body. This is referred to as:
A) Adduction B) Abduction C) Flexion D) Extension
The nurse is giving you the shift report. She states the client's diagnoses, treatments, and course of hospitalization. When describing the client she states, "Whenever I try to teach him something, he becomes difficult and argumentative."
What client information about patient teaching should you ask? Select all that apply. a. Level of literacy b. Primary language c. Need for humor d. Level of anxiety e. Questions answered
The nurse is aware that the older adult is more at risk for a cranial bleed following a head injury because the older adult has:
a. a smaller brain, which allows for more movement inside the cranium. b. fragile vessels more likely to rupture. c. less cerebrospinal fluid to cushion the brain. d. less flexibility of the meninges to absorb impact.
What is considered to be a time when specific environmental or biologic events must occur for development to proceed normally?
A) Infancy phase B) School age period C) Crucial period D) Critical period