After being notified that her husband died of heart failure, a wife approaches the nurse who cared for her husband. In the hospital hallway the wife shouts angrily, He'd still be alive if you'd given him your undivided attention! Select the nurses best response.
- A. I understand you're feeling upset. Let's go to our conference room, and I'll stay with you until your family comes.
- B. Your husbands heart was severely damaged and could no longer pump. There's nothing anyone could have done.
- C. I will call the nursing supervisor to discuss this matter with you.
- D. It will be all right if you cry. Crying is a normal grief response.
Correct Answer: A
Rationale: When a bereaved family member behaves in a disturbed manner, the nurse should show patience and tact while offering sympathy and warmth. Moving the individual to a private area so as not to disturb others is important. The incorrect options are defensive, evasive, or placating.
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When taking a medical history, which of the following approaches would be the best way to develop a patient's trust and build rapport?
- A. Confront a patient with targeted questions about his/her behaviors in a direct manner
- B. Provide a setting that is private and safe for disclosure
- C. Always include family members in these conversations
- D. Be persistent in your questioning of the patient
Correct Answer: B
Rationale: A private, safe setting fosters trust, encouraging honest disclosure.
A decrease in which of the following neurotransmitters has been implicated in depression?
- A. GABA, acetylcholine, and aspartate
- B. Norepinephrine, serotonin, and dopamine
- C. Somatostatin, substance P, and glycine
- D. Glutamate, histamine, and opioid peptides
Correct Answer: B
Rationale: A decrease in norepinephrine, serotonin, and dopamine has been well-documented in the etiology of depression, as these neurotransmitters play key roles in mood regulation, aligning with option b.
Maria is an Italian American who is in the hospital after having suffered a miscarriage at 5 months' gestation. Maria's mother says to the nurse, 'If only Maria had told me she wanted the biscotti, I would have made them for her.' What is the meaning behind Maria's mother's statement?
- A. Some Italian Americans believe a miscarriage can occur if a woman does not eat a food she craves.
- B. Some Italian Americans think biscotti can prevent a miscarriage.
- C. Maria's mother is taking the blame for Maria's miscarriage.
- D. Maria's mother believes the physician should have told Maria to eat biscotti.
Correct Answer: A
Rationale: Maria's mother's statement reflects a cultural belief among some Italian Americans that unmet food cravings during pregnancy can contribute to miscarriage, aligning with option a.
For the giver spending on other people results in greater happiness:
- A. Time
- B. Feelings
- C. Emotions
- D. Money
Correct Answer: D
Rationale: Prosocial spending (money on others) increases happiness, per Dunn et al. (2008).
he theorist who believes that human have growth potential is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: B
Rationale: Carl Rogers' humanistic theory highlights growth potential in all individuals.