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A terminally ill patient says, I know I'm not going to get well, but still and the patients voice trails off. Which response by the nurse would be therapeutic?
- A. What do you hope for?
- B. No, you're not going to get well.
- C. Do you have questions about what is happening?
- D. I'm happy you are being realistic about your future.
Correct Answer: A
Rationale: This open-ended response is an example of following the patients lead. It provides an opportunity for the patient to speak about whatever is on his or her mind. The incorrect options are not therapeutic; they block further communication, refocus the conversation, give advice, or suggest the nurse is uncomfortable with the topic.
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Some more tenets of SLFT -- find the one which doesn't belong....
- A. To change someone else's behaviour change the way you respond
- B. The family is the expert, each family is unique
- C. Repeated trying and testing is necessary for new learning
- D. Biopsychosocial change provides the fastest learning
Correct Answer: B
Rationale: Family as expert aligns more with narrative therapy, not SLFT's behavioral focus.
The parents of a 15-year-old seek to have this teen declared a delinquent because of excessive drinking, habitually running away, and prostitution. The nurse interviewing the patient should recognize these behaviors often occur in adolescents who:
- A. have been abused.
- B. are attention seeking.
- C. have eating disorders.
- D. are developmentally delayed.
Correct Answer: A
Rationale: Self-mutilation, alcohol and drug abuse, bulimia, and unstable and unsatisfactory relationships are frequently seen in teens who are abused. These behaviors are not as closely aligned with any of the other options.
In dealing with end-of-life disputes between a patient's family members, under what circumstance would it be appropriate to invoke Catholic theology?
- A. Under any circumstance; Catholics favor preservation of life
- B. If the majority of the family is Catholic
- C. If the patient's next of kin is Catholic
- D. If the Catholic tradition is meaningful to the patient
Correct Answer: D
Rationale: Relevance to the patient ensures respect for their beliefs.
The theorist who believes in self-actualization is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: C
Rationale: Maslow's hierarchy peaks at self-actualization.
he theorist who believes that human behavior is influenced by self is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: B
Rationale: Carl Rogers ties behavior to the self-concept and personal growth.