Nokea
A black patient says to a white nurse, 'There's no sense talking. You wouldn't understand because you live in a white world.' The nurse's best action would be to:
- A. explain, 'Yes, I do understand. Everyone goes through the same experiences.'
- B. say, 'Please give an example of something you think I wouldn't understand.'
- C. reassure the patient that nurses interact with people from all cultures.
- D. change the subject to one that is less emotionally disturbing.
Correct Answer: B
Rationale: Having the patient speak in specifics rather than globally will help the nurse understand the patient's perspective. This approach will help the nurse engage the patient. Reassurance and changing the subject are not therapeutic techniques.
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Extrapyramidal symptoms comprises all except
- A. Akathisia
- B. Athetosis
- C. Tics
- D. Rabbit syndrome
Correct Answer: C
Rationale: Tics are not considered an extrapyramidal symptom; they are more commonly associated with Tourette syndrome.
All the following are catatonic signs except
- A. Waxy flexibility
- B. Cataplexy
- C. Catalepsy
- D. Mutism
Correct Answer: B
Rationale: Cataplexy is not a sign of catatonia; it is associated with narcolepsy.
Counter transference means-
- A. Feeling therapist develops towards patient
- B. Feeling patient develops towards therapist
- C. Heterosexual cross dressing to promote sexual excitement
- D. Preoccupation with fear of having a serious illness
Correct Answer: A
Rationale: Countertransference refers to the therapist's emotional reactions to the patient, distinct from transference (patient to therapist).
A patient confides in a nurse, saying, 'My caregiver threatens to kick me out of the house if I complain about anything.' What should the nurse's response be?
- A. I'm sure they're just frustrated. Try to be more understanding.
- B. Let's discuss options for getting you the support you need.
- C. Maybe you should try to do more to avoid conflicts.
- D. Just ignore those threats; they don't mean anything.
Correct Answer: B
Rationale: This is the correct response. It acknowledges the patient's concerns and offers to explore solutions together. It shows empathy and a commitment to helping the patient find a way to address the abusive situation.
The nurse is caring for a patient whose son recently died. The patient is unable to recall the circumstances of her son's death. This woman employs which of the following defense mechanisms?
- A. Denial
- B. Undoing
- C. Suppression
- D. Repression
Correct Answer: D
Rationale: Repression involves excluding emotionally painful or anxiety-provoking thoughts and feelings from conscious awareness. Denial is refusing to accept reality. Undoing involves making up for unacceptable behavior. Suppression is the conscious exclusion of unacceptable thoughts.