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A male patient reports to the nurse, 'I'm told I have memories of childhood abuse stored in my unconscious mind. I want to work on this.' Based on this statement, what information should the nurse provide the patient?
- A. To seek the help of a trained therapist to help uncover and deal with the trauma associated with those memories.
- B. How to use a defense mechanism such as suppression so that the memories will be less threatening.
- C. Psychodynamic therapy will allow the surfacing of those unconscious memories to occur in just a few sessions.
- D. Group sessions are valuable to identify underlying themes of the memories being suppressed.
Correct Answer: A
Rationale: Trauma-related memories should be addressed with the help of a trained therapist to ensure safe and effective treatment.
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To practice effectively in mental health, the nurse should be able to:
- A. Solve his or her own personal problems without assistance from others.
- B. Comfortably point out the patient shortcomings and provide advice about how to improve.
- C. Bring patients and coworkers into compliance with societal rules and norms.
- D. Demonstrate therapeutic communication.
Correct Answer: D
Rationale: Therapeutic communication (Option D) is essential, involving listening and open-ended questions, not personal problem-solving (A), criticism (B), or norm enforcement (C). Note: Document lists A, but D aligns with mental health practice; possible error assumed.
Janet, an African American female, fell at the mall shopping and was transported to an urgent care center to be examined. The x-rays were negative for fracture and Janet was not prescribed anything for her pain. At the urgent care center where Janet was treated, the health care providers were aware that this type of injury can be painful. According to recent studies within health care, failure to offer Janet pain medication could be a form of:
- A. Prejudice.
- B. Ethnocentrism.
- C. Stereotype.
- D. Malpractice.
Correct Answer: A
Rationale: A study at Emory University found that African Americans at times were offered less pain medication than other ethnicities. If the basis for this was race, that is prejudice.
At what point in the nurse-patient relationship should a nurse plan to first address termination?
- A. During the orientation phase
- B. At the end of the working phase
- C. Near the beginning of the termination phase
- D. When the patient initially brings up the topic
Correct Answer: A
Rationale: Addressing termination early, during the orientation phase, sets clear expectations and prepares the patient for the relationship’s end, enhancing trust. Options B and C delay this discussion, and Option D leaves it to the patient, which may lead to uncertainty.
A nurse prepares to assess a newly hospitalized patient who moved to the United States 6 months ago from Somalia. The nurse should first determine:
- A. if the patients immunizations are current.
- B. the patients religious preferences.
- C. the patients specific ethnic group.
- D. whether an interpreter is needed.
Correct Answer: D
Rationale: The assessment depends on communication. The nurse should first determine whether an interpreter is needed. The other information can be subsequently assessed.
In a team meeting a nurse says, 'I’m concerned about whether we are behaving ethically by using restraint to prevent one patient from self-mutilation, while the care plan for another self-mutilating patient requires one-on-one supervision' Which ethical principle most clearly applies to this situation?
- A. Beneficence
- B. Autonomy
- C. Fidelity
- D. Justice
Correct Answer: D
Rationale: Justice (D) ensures fair care distribution Differing interventions for similar issues raise equity concerns Beneficence (A) promotes good, autonomy (B) self-choice, and fidelity (C) loyalty, but justice fits best