A nurse is providing counseling for a family that consists of two parents and their two adolescent children.
Which of the following family members should the nurse identify as acting in the role of monopolizer?
The father who intervenes whenever the siblings argue.
The mother who expresses hostility toward her spouse.
The adolescent daughter who attempts to dominate the discussion.
The adolescent son who refuses to share personal feelings.
The Correct Answer is C
A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify as acting in the role of monopolizer? The correct answer is choice C. The adolescent daughter who attempts to dominate the discussion.
Choice A rationale:
The father who intervenes whenever the siblings argue does not necessarily fit the role of a monopolizer. While his intervention may affect the dynamics, it may not be an attempt to monopolize the discussion. His actions could be aimed at conflict resolution.
Choice B rationale:
The mother who expresses hostility toward her spouse also does not fit the role of a monopolizer. Expressing hostility is a different issue and does not necessarily mean she's monopolizing the discussion.
Choice C rationale:
The adolescent daughter who attempts to dominate the discussion is likely acting as the monopolizer. In family dynamics, a monopolizer is someone who seeks to control and dominate the conversation, often not allowing others to express their thoughts or opinions. This behavior can disrupt effective communication within the family.
Choice D rationale:
The adolescent son who refuses to share personal feelings is not acting as a monopolizer. While his behavior may affect communication, it is different from actively dominating the discussion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is D. Hyperthermia.
Choice A reason: Hyperglycemia, which is an elevated blood glucose level, is not typically a direct manifestation of alcohol withdrawal. Alcohol withdrawal can sometimes lead to poor oral intake or vomiting, which might indirectly affect blood sugar levels, but hyperglycemia itself is not a primary concern in the context of alcohol withdrawal.
Choice B reason: Decreased blood pressure During alcohol withdrawal, the sympathetic nervous system is often overactive, leading to symptoms such as increased blood pressure, rather than decreased. Therefore, decreased blood pressure is not a common manifestation of alcohol withdrawal. Normal blood pressure ranges for adults are systolic BP of 100-120mmHg and diastolic BP of 70-80mmHg.
Choice C reason: Decreased heart rate Similar to blood pressure, the heart rate typically increases during alcohol withdrawal due to sympathetic nervous system overactivity. A normal resting heart rate for adults ranges from 60 to 100 beats per minute (bpm). Decreased heart rate is not expected during alcohol withdrawal.
Choice D reason: Hyperthermia, or elevated body temperature, is a common symptom of alcohol withdrawal. This occurs as part of the body’s response to the sudden absence of alcohol, and can be a part of the withdrawal syndrome, which includes a range of symptoms from mild anxiety to severe complications like seizures. Normal body temperature ranges from 97°F (36.1°C) to 99°F (37.2°C).
Correct Answer is C
Explanation
Choice A rationale:
"I'm struggling with altered motor function.”. This statement is more in line with a description of conversion disorder or functional neurological symptom disorder, where clients may experience symptoms like paralysis or altered motor function, but these symptoms are typically not intentionally produced for attention-seeking purposes.
Choice B rationale:
"I don't know why I'm feeling this way.”. This statement does not specifically indicate a deliberate intent to falsify psychological symptoms for attention. It could be related to other emotional or psychological issues, but it doesn't directly relate to the behavior described in the question.
Choice D rationale:
"I'm worried about having a serious illness.”. This statement reflects concerns about actual medical conditions and does not align with the behavior of repeatedly falsifying psychological symptoms for attention. People with factitious disorder may feign physical symptoms but not necessarily express concerns about having a serious illness themselves. Now, let's address the last question.
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