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A nurse cared for a terminally ill patient for over a month and always looked forward to spending time with the patient. When the patient died, the nurse experienced sadness and felt mildly depressed. Eventually, the nurse explains these feelings to a mentor. The mentor should counsel the nurse:
- A. about stress-reduction strategies.
- B. to seek therapy for dysfunctional grief.
- C. about the experience of disenfranchised grief.
- D. to consider taking a leave of absence to pursue healing.
Correct Answer: C
Rationale: The nurse is experiencing disenfranchised grief. Nurses often incur loss that is not openly acknowledged or publicly mourned. The loss of a patient may not be recognized or acknowledged by others; therefore the grief is solitary and uncomforted and may be difficult to resolve.
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Using the structural 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 communications 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: B
Rationale: The correct answer is B because the structural approach in family therapy focuses on improving communication and interaction patterns to create positive change in destructive behavior. This involves restructuring the family dynamics and roles to address underlying issues. Choice A is incorrect because changing family principles may not directly address specific behaviors. Choice C is incorrect as increasing differentiation alone may not target destructive behaviors. Choice D is incorrect as promoting diffuse boundaries can lead to further dysfunction rather than positive change.
The ability to learn, store, and retrieve associations between actions or things) also declines dramatically is called:
- A. Episodic Memory
- B. Associative Memory
- C. Short Term Memory
- D. Long Term Memory
Correct Answer: B
Rationale: Associative memory, linking actions or items, declines with age, per cognitive aging studies.
Which statement about Respondeat Superior is accurate?
- A. Respondeat Superior does not mean that a nurse cannot be held liable.
- B. Respondeat Superior does not mean that a nurse cannot be held libel.
- C. Respondeat Superior is an ethical principle.
- D. Respondeat Superior is a law.
Correct Answer: A
Rationale: Respondeat Superior holds employers liable but does not absolve employees of liability.
Name three common tricyclic antidepressants.
- A. Amitriptyline (Elavil)
- B. Imipramine (Tofranil)
- C. Nortriptyline (Pamelor)
- D. Palpitations
Correct Answer: A
Rationale: Step 1: Identify tricyclic antidepressants as a class of medications.
Step 2: Recognize Amitriptyline, Imipramine, and Nortriptyline as commonly prescribed tricyclic antidepressants.
Step 3: Eliminate "Palpitations" as it is not a tricyclic antidepressant.
Step 4: Choose Amitriptyline (Elavil) as the correct answer due to its classification as a tricyclic antidepressant and common use in clinical practice.
Self is an ongoing process that combines the 'I' and 'ME'. The 'ME' refers to
- A. None of these
- B. All of these are correct
- C. The image we have of how other people react to us
- D. The spontaneous force that fosters unpredictable behavior
Correct Answer: C
Rationale: The 'ME' (Mead) is the social self, shaped by others' perceptions.