Malingering is different from somatoform disorder because the former:

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Multidimensional Basis of Health Protective Behaviors Questions

Question 1 of 5

Malingering is different from somatoform disorder because the former:

Correct Answer: B

Rationale: The correct answer is B because malingering involves intentionally feigning or exaggerating symptoms for secondary gain, such as avoiding responsibilities or obtaining benefits. In contrast, somatoform disorders are characterized by genuine physical symptoms without a conscious intent to deceive. Choice A is incorrect as malingering does not have an organic basis, unlike genuine medical conditions. Choice C is incorrect as malingering is not driven by obtaining gratification from the environment. Choice D is incorrect as stress being expressed through physical symptoms is characteristic of somatoform disorders, not malingering.

Question 2 of 5

The nurse understands that if a client continues to be dependent on heroin throughout her pregnancy, her baby will be at high risk for:

Correct Answer: B

Rationale: The correct answer is B: Heroin dependence. Heroin is a highly addictive substance that can pass through the placenta to the developing fetus, leading to physical dependence in the baby. This can result in withdrawal symptoms after birth, known as Neonatal Abstinence Syndrome (NAS). NAS can cause various health issues for the baby, including respiratory problems, feeding difficulties, seizures, and even death. Therefore, if the mother continues to be dependent on heroin during pregnancy, the baby is at high risk for developing heroin dependence due to exposure in utero. Incorrect choices: A: Mental retardation - Heroin use during pregnancy can impact the baby's cognitive development, but it is not directly linked to mental retardation. C: Addiction in adulthood - While exposure to heroin in utero can increase the risk of addiction later in life, the immediate concern is the baby developing heroin dependence. D: Psychological disturbances - Heroin use can contribute to psychological issues in both the mother and the baby, but the

Question 3 of 5

Group members have worked very hard, and the nurse reminds them that termination is approaching. Termination is considered successful if group members:

Correct Answer: C

Rationale: The correct answer is C because focusing on the positive experience during termination helps validate the group's progress and accomplishments. It encourages reflection on the growth and learning achieved, fostering a sense of closure and satisfaction. Choice A (Deciding to continue) is incorrect as termination implies the end of the group. Choice B (Elevating group progress) is incorrect as the focus should be on reflecting on past experiences, not necessarily pushing for further progress. Choice D (Stopping attendance) is incorrect as it undermines the purpose of termination and the opportunity for closure and reflection.

Question 4 of 5

The nurse provides a referral to Alcoholics Anonymous to a client who describes a 20-year history of alcohol abuse. The primary function of this group is to:

Correct Answer: B

Rationale: Step 1: Alcoholics Anonymous (AA) is known for its primary goal of helping individuals maintain sobriety. Step 2: The 12-step program is a method utilized by AA to achieve the goal of sobriety. Step 3: AA provides a supportive environment for members to share experiences and offer mutual support. Step 4: Fellowship among members is a crucial aspect of AA in promoting long-term recovery. Step 5: Teaching positive coping mechanisms is important, but the main focus of AA is on supporting members in staying sober. Summary: Choice B is correct as AA's primary function is to help members maintain sobriety through a supportive community and the 12-step program. Choices A, C, and D are incorrect as they do not capture the main purpose of AA, which is supporting long-term recovery through sobriety.

Question 5 of 5

Which of the following outcome criteria is appropriate for the client with dementia?

Correct Answer: D

Rationale: The correct answer is D because clients with dementia often struggle with memory and cognitive functioning, making it essential to establish a routine for activities of daily living to promote independence and reduce confusion. This outcome criterion focuses on maintaining a structured schedule to support the client's ability to perform tasks consistently. A is incorrect because expecting the client to return to an adequate level of self-functioning is unrealistic given the progressive nature of dementia. B is incorrect as learning new coping mechanisms may be challenging for someone with dementia due to cognitive impairment. C is incorrect because relying on the client to seek out resources in the community may not be feasible given their cognitive limitations.

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