A patient diagnosed with metastatic brain cancer says, I'm dying, but I'm still living. I want to be in control as long as I can. Which reply shows the nurse was actively listening?
- A. Our staff will do their best to help you feel comfortable.
- B. Most people do not know how to help and are afraid of death.
- C. Your mind and spirit are healthy, although your body is frail.
- D. You want people to stop focusing on your weaknesses.
Correct Answer: C
Rationale: The patient is asking for acknowledgment that he or she is not totally sick; even in the terminal state, strengths and capabilities are present. The correct response provides that acknowledgment through use of reflection. The other responses are nontherapeutic.
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The psychosexual stage associated with control is
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: B
Rationale: The anal stage (1-3 years, Freud) focuses on control over bodily functions.
When a patient expresses anger about a physician's colleague, which of the following statements would be the most appropriate response?
- A. Why are you so aggravated over something so trivial?
- B. Before I ask any questions, please calm down
- C. What concerns do you have about how you were treated?
- D. Why don't we go talk to Dr. X about your anger?
Correct Answer: C
Rationale: This response shows empathy, encourages open communication, and focuses on understanding the patient's concerns without escalating tension.
Three years ago, Anna's dog Lucky, whom she had had for 16 years, was run over by a car and killed. Anna's daughter reports that since that time, Anna has lost weight, rarely leaves her home, and just sits and talks about Lucky. Anna's behavior would be considered maladaptive because
- A. it has been more than 3 years since Lucky died.
- B. her grief is too intense over just the loss of a dog.
- C. her grief is interfering with her functioning.
- D. people in this culture would not comprehend such behavior over the loss of a pet.
Correct Answer: C
Rationale: Anna's behavior is considered maladaptive because it is interfering with her daily functioning, such as losing weight, rarely leaving home, and being unable to engage in normal activities, which aligns with option c.
Child neglect is the most frequently reported and confirmed type of child maltreatment.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Neglect surpasses physical abuse in prevalence, per child welfare statistics.
Socialization is
- A. The process of becoming part of a society by learning its norms and values
- B. A tendency of social theorists explain everything in terms of social causes
- C. The formation of an attached bond between an infant and his care taker
- D. The historical process by which societies change from tradition to modern
Correct Answer: A
Rationale: Socialization integrates individuals into society via norms.