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Questions 158

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Question 1 of 5

Which of the following activities would be most appropriate during occupational therapy for a client with bipolar disorder?

Correct Answer: C

Rationale: This activity is too competitive, and the manic client might become abusive toward the other clients. During mania, the client's attention span is too short to accomplish this task. This activity uses gross motor skills, eases tension, and expands excess energy. A staff member is better equipped to interact therapeutically with clients. This activity requires the use of fine motor skills and is very tedious.

Question 2 of 5

A family is experiencing changes in their lifestyle in many ways. The invalid grandmother has moved in with them. The couple have a 2-year-old son by their marriage, and the wife has two children by her previous marriage. The older children are in high school. In applying systems theory to this family, it is important for the nurse to remember which of the following principles?

Correct Answer: B

Rationale: Any change in any part of the system affects all other parts.

Question 3 of 5

The nurse is caring for a client with a history of psoriasis. The nurse should expect the client to have:

Correct Answer: A

Rationale: Psoriasis causes scaly, silvery plaques due to rapid skin cell turnover, a hallmark symptom.

Question 4 of 5

The physician has ordered a low-residue diet for a client with Crohn's disease. Which food is not permitted in a low-residue diet?

Correct Answer: C

Rationale: A low-residue diet minimizes fiber and irritating foods; fried fish is high in fat and can irritate the gut, making it unsuitable for Crohn's disease.

Question 5 of 5

A family by court order undergoes treatment by a family therapist for child abuse. The nurse, who is the child's case manager knows that treatment has been effective when:

Correct Answer: D

Rationale: Removing an abused child from the home and placement in a foster home are not the desired outcome of treatment. Children who are perceived as 'different' from the rest of the family are more likely to be abused. Although legal action may be taken against abusive parents, it is not an indicator of an effective treatment program. Identification of age-appropriate behaviors is essential to the role of parents, because misunderstanding children's normal developmental needs often contributes to abuse or neglect.

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