According to the 'Self Determination Theory' of Ryan and Deci (2000), life satisfaction derives from the fulfillment of three fundamental psychological needs. These are autonomy, relatedness, and:
- A. Success
- B. Love
- C. Excellence
- D. Competence
Correct Answer: D
Rationale: Self-Determination Theory (Ryan & Deci, 2000) includes autonomy, relatedness, and competence.
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In general, there are more intensified perceptions about whom?
- A. Children
- B. Males
- C. Elderly
- D. Females
Correct Answer: B
Rationale: Males face intensified societal expectations, especially around masculinity.
A nurse talks with a person whose spouse died suddenly while jogging. Which is the appropriate statement for the nurse?
- A. At least your spouse did not suffer.
- B. It's better to go quickly as your spouse did.
- C. The loss of your spouse must be very painful for you.
- D. You'll begin to feel better after you get over the shock.
Correct Answer: C
Rationale: The most helpful responses by others validate the bereaved persons experience of loss. Avoid banalities; they increase the individuals sense of isolation.
A patient is admitted in a comatose state after ingesting 30 capsules of pentobarbital sodium. A friend of the patient says, 'Often my friend drinks, along with taking more of the drug than is ordered.' What is the effect of the use of alcohol with this drug?
- A. The drug’s metabolism is stimulated.
- B. The drug’s effect is diminished.
- C. A synergistic effect occurs.
- D. There is no effect.
Correct Answer: C
Rationale: The correct answer is C: A synergistic effect occurs. When alcohol is consumed with pentobarbital sodium, both substances depress the central nervous system. This results in an enhanced sedative effect, leading to respiratory depression, coma, and potentially death. The combined effect of the two substances is greater than the sum of their individual effects. Choices A and B are incorrect as alcohol does not stimulate the metabolism of pentobarbital sodium nor diminish its effect. Choice D is also incorrect as there is a significant effect when alcohol is combined with this drug.
Direct observed treatment (DOT) is the appropriate treatment for patients with multi-drug-resistant tuberculosis. What is the best approach for physicians to initially take when a patient requires DOT?
- A. Immediately initiate DOT when the patient's diagnosis is confirmed
- B. Ensure the patient understands the diagnosis, the importance of the treatment, and how this will impact his/her life
- C. Alert the patient's family, friends, and coworkers of the elevated risk of tuberculosis infection
- D. Give the patient time to consider whether the DOT is within his/her budget
Correct Answer: B
Rationale: Understanding enhances patient buy-in and adherence to the rigorous DOT regimen.
believes that human behavior is learned.
- A. Bruner
- B. Skinner
- C. Piaget
- D. Bandura
Correct Answer: D
Rationale: Albert Bandura's social learning theory posits that behavior is learned through observation and imitation.