Nokea
A nurse is teaching decision-making skills to a client with dependent personality disorder. According to Erikson, the likely cause of the client developing dependent personality is failure to meet the critical task of which developmental stage?
- A. Trust
- B. Autonomy
- C. Initiative
- D. Industry
Correct Answer: D
Rationale: Failure to complete the critical task of industry versus inferiority results in a negative outcome, impeding the development of confidence in one's abilities, which can contribute to dependent personality traits.
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How might the nurse best provide culturally competent care?
- A. Behave as appropriate for the nurse's culture.
- B. Find out as much as possible about a client's cultural values, beliefs, and health practices.
- C. Know what to expect from many cultural groups.
- D. Validate knowledge about culture through continuing education.
Correct Answer: B
Rationale: Culturally competent care requires understanding the individual client's cultural values, beliefs, and practices.
Which of the following situations would most likely provide social support to a client?
- A. A friend who will share his or her perspective on an issue
- B. The transportation service that provides access to daily rehabilitation services
- C. Fellow teammates participating in a community softball league
- D. The teacher assisting a client to obtain a GED
Correct Answer: A
Rationale: Social support comes from relationships that provide emotional sustenance, such as a friend sharing perspectives.
Which of the following individual factors can a person modify to improve mental and emotional health? Select all that apply.
- A. Serotonin deficiency
- B. Lack of exercise
- C. Poor nutrition
- D. Type I diabetes
- E. Sleeplessness
Correct Answer: B,C,E
Rationale: Personal health practices such as exercise, nutrition, and sleep can be modified to improve mental and emotional health, unlike serotonin deficiency or type I diabetes, which are not under voluntary control.
Which one of the following statements about the roles that biologic makeup plays in a client's emotional responses is most accurate?
- A. Biologic differences can affect a client's response to treatment with psychotropic drugs.
- B. Biologic differences do not affect a client's response to treatment with psychotropic drugs.
- C. Heredity and biologic factors are under voluntary control.
- D. Persons cannot change their health status and improve the ability to cope.
Correct Answer: A
Rationale: Biologic differences can affect a client's response to treatment with psychotropic drugs, influencing the efficacy and side effects of medications.
Which of the following personal characteristics influence a client's response to stressors? Select all that apply.
- A. Self-efficacy
- B. Sense of belonging
- C. Spirituality
- D. Hardiness
- E. Resilience
- F. Resourcefulness
Correct Answer: A,C,D,E,F
Rationale: Self-efficacy, spirituality, hardiness, resilience, and resourcefulness influence a client's response to stressors.