Nokea
A person whose spouse died two years earlier tells friends, I think I'll start going out socially, maybe even take someone to dinner. This comment best demonstrates that the individual is:
- A. denying the significance of the loss.
- B. in a period of resolution of grief.
- C. actively working through grief.
- D. experiencing intrusion.
Correct Answer: B
Rationale: Toward the end of the grief process, the person renews his or her interest in people and activities. This behavior indicates resolution. At the same time, the person is released from the relationship with the deceased. The patient has progressed beyond grief. The patient is seeking to move into new relationships so that he or she is not alone.
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A nurse manager notices that a staff member spends minimal time with a patient diagnosed with AIDS who is terminally ill. The patient says, Im having intense emotional reactions to this illness. Sometimes I feel angry, but other times I feel afraid or abandoned. The nurse manager can correctly hypothesize that the most likely reason for the staff members avoidance is:
- A. fear of infection transmission.
- B. feelings of inadequacy in dealing with complex emotional needs.
- C. knowledge that the patient needs time alone with family and friends.
- D. belief that the patients former lifestyle included high-risk behaviors.
Correct Answer: B
Rationale: Many nurses tend to be more comfortable with meeting physical needs than in focusing on complex emotional needs. Standard precautions are necessary for all patients. The patients lifestyle is irrelevant.
Self-efficacy is one of the main components of self-esteem. If a person has high self-efficacy he/she is likely to
- A. Believe that most assignments are difficult and confusing
- B. Ask for considerable help to start a difficult task
- C. Feel lacking in skills for a specific task
- D. Believe they can accomplish the task
Correct Answer: D
Rationale: High self-efficacy (Bandura) is belief in task capability.
Long arm of neuron, which carries message is
- A. Nerve
- B. Synapse
- C. Axon
- D. Dendrite
Correct Answer: C
Rationale: The axon transmits signals from the neuron.
What are some of the factors to consider with a Level 1 family at the Ontological Level, during a home visit?
- A. Basic needs, safety, existential stressors
- B. Financial planning, career goals
- C. Intimacy issues, self-esteem
- D. Moral values, philosophical beliefs
Correct Answer: A
Rationale: At the ontological level, Level 1 families face basic survival and existential challenges, not higher-order concerns.
During you musculoskeletal assessment of the client, you determine that the client has muscular strength against gravity but not against resistance. You would document this assessment as:
- A. 1 on the scale of 1 to 3
- B. 2 on the scale of 1 to 5
- C. 3 on the scale of 0 to 5
- D. 4 on the scale of 0 to 5
Correct Answer: C
Rationale: Strength against gravity only is 3 (C) on the 0-5 scale.