A terminally ill patient tells the nurse, Life has been good. I am proud of being self-educated. I overcame adversity with willpower. I always gave my best and expected things to turn out well. I intend to die as I lived: optimistically. The nurse planning care for this patient recognizes a critical need to:
- A. provide aggressive pain and symptom management.
- B. help the patient reassess and explore existing conflicts.
- C. assist the patient to focus on the meaning in life and death.
- D. support the patients use of personal resources to meet challenges.
Correct Answer: D
Rationale: The patient whose intrinsic strength and endurance have been a hallmark often wishes to approach dying by staying optimistic and in control. Helping the patient use his or her resources to meet challenges is appropriate.
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The psychological test that measures personality traits is
- A. Rorschach
- B. MMPI
- C. TAT
- D. All of these
Correct Answer: B
Rationale: MMPI (Minnesota Multiphasic Personality Inventory) assesses personality traits.
In which age children develop a sense of trust
- A. 0-1 year
- B. 1-3 years
- C. 3-5 years
- D. 5-7 years
Correct Answer: A
Rationale: Erikson's trust vs. mistrust stage occurs from birth to 1 year.
Lucky sometimes refused to obey Anna and indeed did not come back to her when she called to him on the day he was killed. But Anna continues to insist 'He was the very best dog. He always minded me.' This represents the defense mechanism
- A. sublimation.
- B. compensation.
- C. reaction formation.
- D. undoing.
Correct Answer: C
Rationale: Anna's insistence that Lucky was the 'very best dog' and always minded her, despite evidence to the contrary, suggests she is unconsciously replacing her negative feelings (anger or frustration) with exaggerated positive ones, which is characteristic of reaction formation, aligning with option c.
When assessing a patient's dietary habits, which of the following statements is the most effective approach?
- A. Assume the patient's dietary habits relate to his/her specific culture
- B. Request that the patient record his/her food intake for 1 month
- C. Refer the patient to a registered dietitian during the first visit
- D. Take a detailed history of the patient's dietary preferences
Correct Answer: D
Rationale: A detailed history provides specific, actionable insights into dietary habits.
The goal of SFT is to...
- A. Draw less on strengths and more on the power of patterns
- B. Form the basis for better future patterns of relating and solving problems
- C. Work with traditionally underserved or oppressed populations
- D. N/A
Correct Answer: B
Rationale: SFT aims to reshape patterns for improved future functioning.