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A patient with a diagnosis of deep vein thrombosis (DVT) is being treated with unfractionated heparin, which is being administered intravenously. The nurse who is providing care for this patient should consequently prioritize what assessments?
 
  A) Assessing the patient for internal or external hemorrhage
  B) Monitoring the patient's intake and output, and assessing for signs of fluid volume deficit
  C) Assessing the patient for adventitious lung sounds and assessing SaO2 levels
  D) Assessing the patient's pain levels

Question 2

The nurse has a question about the appropriateness of an older patient's medication dose. Which of the following professionals would be best qualified to answer such a question?
 
  a) the geropsychologist
  b) the geropharmacist
  c) the financial gerontologist
  d) the gerontological rehabilitation nurse

Question 3

When completing an assessment with an older patient, the nurse will focus on which health problems since these are the leading causes of death for this population? Standard Text: Select all that apply.
 
  1. HIV/AIDS
  2. Malignant neoplasms
  3. Motor vehicle crashes
  4. Cardiovascular disease
  5. Pneumonia and infections

Question 4

The clinical facility has a unit that has a focus of tertiary prevention. Which of the following goals is consistent with this focus?
 
  A) Clients with pressure ulcers will have whirlpool therapy as indicated.
  B) Clients at risk for the development of pressure ulcers will be turned every 2 hours to prevent pressure ulcer development.
  C) Clients will be assessed for the presence of factors that place them at risk for pressure ulcer development.
  D) Clients will be taught to move in bed at least every 2 hours to prevent pressure ulcer development.

Question 5

The AACN/John A. Hartford Foundation Competencies are helpful to nurses because they:
 
  a) offer suggestions about how to gain employment in geriatrics
  b) provide a guideline for the knowledge that is expected to provide quality care to older adults
  c) were designed to prepare nurses to pass the State Board Exam
  d) were written for nurses working on a graduate degree in gerontology

Question 6

The nurse is completing the minimal data set (MDS) for an older patient. What are characteristics of this assessment? Standard Text: Select all that apply.
 
  1. Eliminates listing the patient's prescribed medications
  2. Identifies health insurance coverage that is not Medicare or Medicaid
  3. Provides a multidimensional view of the patient's functional capacities
  4. Used primarily to determine the amount of funding the patient has for long-term care
  5. Includes a core set of screening, clinical, and functional measures used in patient assessment

Question 7

A group of nursing students is preparing a presentation for teens. Their focus is on healthful living. Which of the following statements by a participant indicates an inadequate understanding of the content?
 
  A) The rates of disability are decreasing in the United States.
  B) The majority of senior citizens have at least one chronic condition.
  C) Respiratory disorders are one of the leading causes of disability in the United States.
  D) The beginnings of chronic disease are noted in populations starting around age 30.

Question 8

A lawyer wishes to hire a nurse consultant who has advanced education and certification in gerontology. Based on their listed credentials, which of the following nurses best fits his wishes?
 
  a) Sally Smith, RN, BSN, BC
  b) Mary Malloy, RN, MS, GNP
  c) Andy Jones, LPN, CRRC
  d) Greg Reed, RN, MSN
All of the following gave rise to the emerging adulthood stage of development except
 
  a. The change from an industrial-based economy to an information-based economy
  b. Significant increase in educational and occupational opportunities available to women
  c. Greater tolerance of premarital sex
  d. The Vietnam war

Q. 2

All of the following, according to Arnett (2007), are common features of emerging adulthood except
 
  a. Age of identity explorations
  b. Age of feeling in-between
  c. Age of stability
  d. Self-focused age

Q. 3

In which approach to family counseling do counselors join with the family in a position of leaders and attempt to formulate a structure in their minds of the family?
 
  a. psychodynamic family counseling
  b. experiential family counseling
  c. behavioral family counseling
  d. structural family counseling

Q. 4

Which of the following describes nonsummativity?
 
  a. The family is greater than the sum of its parts.
  b. The same origin may lead to different outcomes, and the same outcomes may result from different origins.
  c. Family functioning is based on both explicit and implicit rules
  d. The ability of a family system to modify its functioning to meet the changing demands of external factors

Q. 5

Which of the following describes morphogenesis?
 
  a. The family is greater than the sum of its parts.
  b. The same origin may lead to different outcomes, and the same outcomes may result from different origins.
  c. Family functioning is based on both explicit and implicit rules
  d. The ability of a family system to modify its functioning to meet the changing demands of external factors

Q. 6

Discuss the main principles of two couples counseling theories. Specifically, describe how each theory conceptualizes problems within the relationship and how those problems can be addressed through counseling.
 
  What will be an ideal response?
From a psychometric point of view interest inventories such as the SDS and the SII are quite sound.
 
  Indicate whether the statement is true or false.

Q. 2

Of the currently available interest inventories, the SII was the first available and is still one of the most useful.
 
  Indicate whether the statement is true or false.

Q. 3

The importance of behavioral assessment in diagnosis of client problems has steadily gained wider acceptance. This has occurred because:
 
  a) Comprehensive behavioral assessment involves the identification, analysis, solution and evaluation of the problem.
  b) Personality tests are inadequate and lack reliability.
  c) Direct observation and interpretation of behavior is more accurate.
  d) It complements the growing preference for the use of cognitive behavioral therapy.
  e) All of the above.

Q. 4

Because elementary school aged children have not yet had the opportunity to explore career options fully, counselors should
 
  A. act quickly to present them with a career path.
  B. urge them to develop a career path.
  C. work toward counteracting environmental factors that pressure students to commit prematurely to occupational options.
  D. not focus on the career needs of elementary aged children.

Q. 5

It is widely acknowledged that Goldman's stance that the marriage between testing and counseling has failed is correct.
 
  Indicate whether the statement is true or false.

Q. 6

Card sorts have been used almost exclusively as a substitute for paper and pencil interest inventories.
 
  Indicate whether the statement is true or false.

Q. 7

One of the major points made by those who favor qualitative assessment over quantitative approaches is that the client is more a collaborator in the qualitative approach to assessment.
 
  Indicate whether the statement is true or false.

Q. 8

Self-efficacy expectations are roughly analogous to self-confidence ratings.
 
  Indicate whether the statement is true or false.
Messages transmitted to and from the brain are:
 
  a) Sent from the synapses and passed through the neurons via neurotransmitters.
  b) Passed between neurons through neurotransmitters in the synapses.
  c) Passed between neurotransmitters by the neurons and stored in the synapses.
  d) Stored in the synapses and transmitted by neurons.
  e) Stored in the synapses and transmitted by neurotransmitters.

Q. 2

Although interview questions can be useful for assessing a person's degree of substance use, brief questionnaires can be helpful supplements to the interview because:
 
  a) A diagnosis of dependence or abuse can be determined from scores on most questionnaires
  b) They help to identify the degree of functional impairment and consequences of substance usage
  c) People tend to be more honest about substance use when responding to questionnaires
  d) Readiness for change is best evaluated with questionnaires

Q. 3

An advantage in using the AUDIT to screen for alcohol abuse or dependence is that:
 
  a) It was designed to be used cross-culturally
  b) It can assess current and lifetime use
  c) It is designed to detect individuals who deny or minimize usage
  d) It assesses an individual's readiness to change

Q. 4

An accommodation for a student with a disability is appropriate under which condition?
 
  a. The student has any diagnosed disability.
  b. The testing procedure assesses an ability for which the student is limited.
  c. The student requests it because of a diagnosed disability.
  d. There are almost no conditions for which accommodations need to be made.

Q. 5

As a strategy for addressing the needs of underserved communities, the authors
  recommended that counselors
 
  a) implement evidence-based practices with a cultural knowledge of the needs of marginalized groups
  b) develop new counseling theories that are specifically focused on marginalized groups
  c) apply cognitive-behavioral therapy consistently, following the established protocols universally with all clients
  d) only practice with cultures to which we have previously been exposed
  e) None of the above.

Q. 6

A community-based counselor is likely to spend as much time identifying and working with referral agencies as with one-to-one counseling with the client.
 
  Indicate whether the statement is true or false

Q. 7

Which of the following instruments has the most controversy surrounding its use with children?
 
  a. Rorschach
  b. BASC-SRP
  c. CBCL
  d. YSR

Q. 8

The purpose of the ASERVIC Spirituality Competencies are to
 
  a) guide counselors in choosing religious affiliations that match the ACA and ASERVIC missions.
  b) provide ethical guidelines for counselors in attending funerals and other issues related to client death and dying.
  c) guide counselors in providing answers to client questions about God, religion, and other spirituality-related matters.
  d) support counselors in clarifying their own belief systems while supporting clients in their own worldviews.
  e) All of the above

Q. 9

One of the limitations of most of the standardized measures for assessing substance use is:
 
  a) Most clients do not respond honestly to them
  b) They may have less validity when used with some racial or ethnic groups
  c) There only English versions
  d) They cannot be used with adolescents
_____ has been described by Diemer and Ali (2009)as an index to denote an individual's position within a hierarchy relative to power, prestige, and control of resources.
 
  a. Subjective social status
  b. Socioeconomic status
  c. Perceived social status
  d. Ascribed social status

Q. 2

All of the following are reasons coping questions are used EXCEPT:
 
  a. to generate hope.
  b. to increase motivation.
  c. to increase insight.
  d. to promote agency.

Q. 3

In which of the following examples would acknowledging existential isolation be beneficial to the client to aid in creating life meaning and taking responsibility for one's life?
 
  a. Sue, a 19-year-old female who wishes to become a drummer in a band, but is expected by her parents to attend university pre-med
  b. Joe, a 21-year-old male, active in his church and expected to go on a mission, but unsure about his beliefs related to witnessing
  c. Jaden, a 26-year-old female, partying every night with friends in search of a relationship, but ending up in one-night stands against her better judgment
  d. All of the above

Q. 4

Which of the following best describes the term intersexed?
 
  a. It refers to culturally ascribed characteristics associated with maleness or femaleness that are distinct from assigned sex.
  b. It denotes anatomical or biological characteristics as male or female.
  c. It refers to an individual who is born with male and female sexual anatomy.
  d. It is defined as any person whose anatomy, appearance, or behavior diverges from prevailing social norms about gender.

Q. 5

Which of the following is an example of a pre-suppositional question?
 
  a. What are you going to do to resolve this issue?
  b. How do you contribute to the problem?
  c. What will your life look like when you change problem?
  d. What will you be doing differently once we resolve these issues?

Q. 6

Existential counselors will help clients to focus on changing themselves when the situation is unchangeable. How might the counselor accomplish this?
 
  a. Help a client whose mother has died focus on the pain and turmoil of the loss
  b. Help a client going through a difficult divorce examine how his choices in dealing with the divorce will impact his children in the long term
  c. Help a client with inoperable cancer fight death until fighting is no longer possible
  d. Help a client who is failing high school find the loophole in the admission process for college in order to get into a decent institution

Q. 7

The central differences between the various definitions of culture often depend on whether the scholar is defining culture:
 
  a. using functionalist, conflict, or interactionist theory.
  b. objectively or subjectively.
  c. from a feminist or a misogynist point of view.
  d. psychologically, anthropologically, or sociologically.

Q. 8

The following statement: Over the next week, I want you to generate a list of the things in your life and relationships that you do not want to have changed by therapy. Notice small things as well as big things that are working right now.., is an example of _____________________________ __.
 
  a. the miracle question
  b. formula first session task
  c. assuming future solution
  d. scaling question
Priscilla feels that she is unattractive and unlovable following a break-up with her boyfriend. Prior to this incident, Priscilla had a healthy view of her worth. Priscilla experienced a decrease in which of the following?
 
  a. Self-reflexiveness
  b. Self-concept
  c. Self-esteem
  d. Self-consciousness
City residents know the local government is facing a budget shortfall. The mayor gives a
  speech presenting two options for reducing costs:
 
  laying off employees or closing city parks one
  day per week. He focuses on getting residents to agree that the second plan is best. Which
  organizational pattern is he using?
  A. Logical reasons
  B. Problem-solution
  C. Progressive-questions
  D. Comparative Advantages
Better educated people with responsible jobs or positions are not
  subject to peer pressure.
 
  Indicate whether the statement is true or false
Your __________ carry more nonverbal cues than any other facial feature.
 
  Fill in the blanks with correct word
4 years ago in History (Humanities)
What type of attitude marked the first few policies Franklin Roosevelt enacted as part of his New Deal legislation?
 
  A. fiscally conservative
  B. welfare state
  C. regulatory
  D. isolationist
4 years ago in History (Humanities)
Which best describes the British response to Pontiacs Uprising in 1763?
 
  a. Slow and dithering
  b. Indifferent
  c. Encouraging but slow
  d. Swift and just
  e. Swift and cruel
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