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A 16-year-old adolescent is hospitalized and acting like a child. According to Erik Erikson, what is the appropriate developmental task?
- A. Industry vs. inferiority
- B. Integrity vs. despair
- C. Identity vs. role confusion
- D. Trust vs. mistrust
Correct Answer: C
Rationale: A 16-year-old is experiencing role confusion perhaps in response to the stress of hospitalization.
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Using the strategic approach with a family in therapy, the therapist would:
- A. Try to change family principles that may be promoting dysfunctional behavior patterns.
- B. Strive to create change in destructive behavior through improvement in communication and interaction patterns.
- C. Encourage increase in the differentiation of individual family members.
- D. Promote change in dysfunctional behavior by encouraging the formation of more diffuse boundaries between family members.
Correct Answer: A
Rationale: The correct answer is A because in the strategic approach, therapists focus on changing the underlying principles within the family system that contribute to dysfunctional behavior patterns. By addressing these core beliefs and principles, therapists aim to create lasting change in the family dynamics.
Incorrect choices:
B: While improving communication and interaction patterns is important in family therapy, it is not the primary focus of the strategic approach.
C: Increasing the differentiation of individual family members is more aligned with structural family therapy, not the strategic approach.
D: Promoting more diffuse boundaries between family members may lead to further dysfunction rather than resolving it in the strategic approach.
Which of the following patient care tasks is coupled with the appropriate member of the nursing care team in terms of their legal scope of practice?
- A. An unlicensed staff member who has been “certified†by the employing agency to monitor telemetry: Monitoring cardiac telemetry
- B. An unlicensed assistive staff member like a nursing assistant who has been “certified†by the employing agency to insert a urinary catheter: Inserting a urinary catheter
- C. A licensed practical nurse: The circulating nurse in the perioperative area
- D. A licensed practical nurse: The first assistant in the perioperative area
Correct Answer: C
Rationale: LPNs are qualified to act as circulating nurses in perioperative settings.
What treatment does a nurse expect to initiate for a depressed patient who is agitated, vomiting, hyperthermic, hyperreflexive, and tachycardic?
- A. Serotonin syndrome: Anticonvulsants for seizures
- B. Clonazepam for myoclonus
- C. Lorazepam for restlessness and agitation
- D. Palpitations
Correct Answer: A
Rationale: The correct answer is A: Serotonin syndrome: Anticonvulsants for seizures. The patient's symptoms of agitation, vomiting, hyperthermia, hyperreflexia, and tachycardia are indicative of serotonin syndrome. Treatment involves stopping the offending medications, supportive care, and in severe cases, anticonvulsants for seizures. Choice B (Clonazepam) is incorrect as it is used for myoclonus, not the main symptoms presented. Choice C (Lorazepam) is incorrect as it is used for restlessness and agitation but not specifically for serotonin syndrome. Choice D (Palpitations) is incorrect as it is a symptom of serotonin syndrome, not a treatment.
In which stage of life is fantasy stage:
- A. 3-7 years
- B. 6-11 years
- C. 12-18 years
- D. 21-28 years
Correct Answer: B
Rationale: The fantasy stage (career development, Ginzberg) occurs around 6-11 years, marked by imaginative career ideas.
he theorist who believes that human behavior is influenced by past experiences is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: A
Rationale: Sigmund Freud's psychoanalysis links behavior to past, especially childhood, experiences.