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A grieving patient tells a nurse, Its been eight months since my spouse died. I thought I would feel better by now, but lately I feel worse. I have no energy. I am lonely, but I dont want to be around people. What should I do? What is the nurses best counsel?
- A. Seek psychotherapy.
- B. Become active in a church.
- C. Go to the spouses grave every day.
- D. Understand this is a normal response.
Correct Answer: D
Rationale: The patient needs understanding and support that the feelings are normal. Although feelings of depression generally decline over the period of a year after the death of a loved one, the decline is not linear. Loneliness and aimlessness are most pronounced 6 to 9 months after the death. The patient should be educated about normal phenomena experienced during bereavement. The other options are not clearly indicated.
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The nurse demonstrates an understanding of the first assumption of Stuart's Stress Adaptation Model when:
- A. Encouraging a client's adult children to accompany their parent to family group therapy sessions.
- B. Discussing with a client's health team which interventions should be included in the plan of care.
- C. Planning interventions based on a particular nursing theory that is relevant to the client's problem.
- D. Identifying community resources that will help a mentally ill client live in his own home.
Correct Answer: A
Rationale: Correct Answer: A
Rationale: The first assumption of Stuart's Stress Adaptation Model is that the client is a part of a larger system involving family and social support. By encouraging a client's adult children to accompany their parent to family group therapy sessions, the nurse is acknowledging and incorporating the client's support system. This aligns with the model's focus on involving family members in the client's care to promote adaptation and stress management. This approach recognizes the importance of social support in the client's overall well-being.
Summary of Other Choices:
B: Discussing interventions with the health team focuses on collaboration and coordination but does not specifically address the client's family support system as required by the model.
C: Planning interventions based on a nursing theory is important but does not directly align with the first assumption of involving the client's family.
D: Identifying community resources is beneficial, but it does not specifically address the client's family support system, which is the primary focus of the first assumption in Stuart
Which of the following is NOT one of Ryff's fundamental elements of psychological well-being:
- A. Life purpose
- B. Social growth
- C. Positive relatedness
- D. Self-acceptance
Correct Answer: B
Rationale: Ryff's 6 elements are purpose, autonomy, mastery, relatedness, self-acceptance, and personal growth (not social growth).
If the assumed hypothesis is tested for rejection considering it to be true is called:
- A. Null Hypothesis
- B. Statistical Hypothesis
- C. Simple Hypothesis
- D. Composite Hypothesis
Correct Answer: A
Rationale: The null hypothesis assumes no effect and is tested for rejection in statistics.
Which of the following health care system barriers can affect a patient's adherence?
- A. Treatment of asymptomatic disease
- B. Inadequate follow-up or discharge planning
- C. Forgetfulness
- D. Inadequate health insurance
Correct Answer: B
Rationale: Inadequate follow-up or discharge planning disrupts continuity of care, a systemic barrier to adherence.
Which nursing intervention best demonstrates an understanding of the effects of mental illness in the creation of secondary at-risk populations?
- A. Educating junior high school students concerning the dangers of drug and alcohol abuse
- B. Assessing the parenting skills of a father diagnosed with obsessive-compulsive disorder (OCD)
- C. Assessing the friends of a teenager who was recently hospitalized for an eating disorder for signs of the same disorder
- D. Providing the parents of a child diagnosed with obsessive-compulsive disorder (OCD) with information on behavior modification
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct:
1. Mental illness can impact parenting skills.
2. Assessing parenting skills of a father with OCD is crucial to understand potential risks to the child.
3. OCD may affect parenting abilities, leading to neglect or inappropriate care.
4. By assessing parenting skills, nurses can identify and address risks to the child's well-being.
Summary of why other choices are incorrect:
A: Educating junior high students on drug abuse is important but does not directly address at-risk populations created by mental illness.
C: Assessing friends for signs of eating disorders is relevant but does not focus on understanding the impact of mental illness on caregiving roles.
D: Providing information on behavior modification to parents is helpful but does not directly assess the impact of mental illness on parenting skills.