Within the context of the culture of poverty, which of the following most clearly describes why individuals who are part of this culture become trapped in a downward economic spiral?

Correct Answer: C

Rationale: The correct answer is C because it highlights the cyclical nature of poverty within the culture of poverty. Joblessness and lack of financial independence are characteristics of poverty that can lead to feelings of powerlessness and low self-esteem, which, in turn, perpetuate the cycle of poverty. This explanation aligns with the concept of the culture of poverty, which suggests that individuals in poverty are trapped in a cycle due to a combination of economic and social factors. Option A is incorrect because it oversimplifies the issue by focusing solely on individual willpower and motivation, ignoring systemic barriers that contribute to poverty. Option B is incorrect as it emphasizes a single aspect (lack of address for job applications) without addressing the broader cycle of poverty. Option D is incorrect as it suggests that poverty is solely inherited and ignores the role of societal structures in perpetuating poverty.

Correct Answer: A

Rationale: The correct answer is A: Boundaries. In the structural family system model by Minuchin, boundaries refer to the rules and limits that define the relationships between family members. By focusing on boundaries, the nurse can assess how family members interact and communicate with each other, which is crucial in understanding the family dynamics and identifying potential issues. Emotional cutoff (B) refers to avoiding emotional connections, sibling position (C) relates to birth order and its impact, and family projection process (D) is about parents projecting their own issues onto their children. These concepts are important but not the primary focus of the structural family system model assessment.

Correct Answer: B

Rationale: The correct answer is B: Reciprocity. The patient's statements indicate a mutual exchange of support and assistance between her and her friend. Reciprocity in social networks refers to the give-and-take dynamic where both parties provide help and support to each other. This is evident in the patient's description of their friendship. Incorrect choices: A: Denseness refers to the degree to which individuals within a social network are connected to each other. The patient's statements do not specifically indicate a high level of interconnectedness. C: Social support involves the provision of assistance or emotional support within a social network, but the key aspect of reciprocity is missing in this choice. D: Constraints refer to the limitations or restrictions within a social network that may hinder relationships or interactions. There is no indication of constraints in the patient's statements.

Correct Answer: D

Rationale: The correct answer is D: Diabetes. Olanzapine (Zyprexa) is an atypical antipsychotic known to cause metabolic side effects, including weight gain and increased risk of diabetes. The nurse should monitor the client for signs of hyperglycemia, such as increased thirst, frequent urination, and fatigue. Weight loss (A) is less likely due to olanzapine's tendency to cause weight gain. Hypertension (B) and diarrhea (C) are not typically associated with olanzapine use.

Correct Answer: C

Rationale: The correct answer is C: Severe anxiety. Relief behaviors indicate that the client is trying to alleviate overwhelming anxiety. Severe anxiety is characterized by extreme discomfort and impaired functioning, leading individuals to resort to relief behaviors. Mild anxiety (choice A) typically involves mild uneasiness, whereas moderate anxiety (choice B) involves increased nervousness. Panic (choice D) is characterized by an overwhelming sense of terror and loss of control, which is more intense than relief behaviors suggest in this scenario.