Albert Ellis and Aron Beck contributed in ------therapy:
- A. Cognitive behavioral therapy
- B. REBT
- C. Rational Emotive Therapy
- D. None of them
Correct Answer: A
Rationale: Ellis (REBT) and Beck (cognitive therapy) both contributed to cognitive behavioral therapy (CBT), integrating thought and behavior.
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One common way of exploring in early childhood is by
- A. Avoiding
- B. Asking
- C. Listening
- D. Reading
Correct Answer: B
Rationale: Asking questions is a primary exploratory method in young children.
The Tuskegee Syphilis Study has had which of the following effects on the African American community?
- A. Greater suspicion and reluctance about participating in research studies
- B. Less use of complementary or alternative medical treatments
- C. Greater compliance with prescription medications
- D. Increased testing for syphilis and other sexually transmitted diseases
Correct Answer: A
Rationale: Tuskegee fostered deep mistrust in medical research among African Americans.
What non-addictive, non-benzodiazepine is commonly implemented for patients who suffer from generalized anxiety disorder (GAD)?
- A. Buspirone (BuSpar)
- B. ECG changes
- C. Valium
- D. Divalproex (Depakote)
Correct Answer: A
Rationale: The correct answer is A: Buspirone (BuSpar). Buspirone is commonly used for patients with GAD due to its non-addictive nature and lack of sedative effects like benzodiazepines. It works by affecting serotonin receptors in the brain, reducing anxiety symptoms. ECG changes (choice B) are not a treatment for GAD. Valium (choice C) is a benzodiazepine, which can be addictive and is not recommended for long-term use in GAD. Divalproex (Depakote) (choice D) is typically used for mood disorders like bipolar disorder and not as a first-line treatment for GAD.
Words are powerful and language can stigmatize the individual dealing with mental illness. How can a nurse personally advocate for such individuals with this in mind?
- A. Encouraging all clients to be aware of their communication so as to not offend others
- B. Teaching the client diagnosed with schizophrenia to avoid pressured speech
- C. Role modeling language that is respectful to those with mental illnesses
- D. Engaging in communication that is always therapeutic
Correct Answer: C
Rationale: The correct answer is C: Role modeling language that is respectful to those with mental illnesses. Nurses can advocate for individuals with mental illness by demonstrating and promoting respectful language use, which helps reduce stigma and promote understanding. This approach empowers both the individual and others to use language that is sensitive and non-discriminatory. By setting an example through their own communication, nurses can positively influence interactions with individuals dealing with mental illness.
Choices A, B, and D are incorrect because:
A: Encouraging all clients to be aware of their communication may not directly address the issue of stigma and may inadvertently place the responsibility solely on the individual with mental illness.
B: Teaching a client diagnosed with schizophrenia to avoid pressured speech is important for their well-being but does not directly address advocating for individuals with mental illness in the context of stigma and language use.
D: Engaging in therapeutic communication is essential in nursing practice but does not specifically focus on advocating for individuals with mental illness regarding language and stigma.
A 16-year-old wants to drive, but the parents will not allow it. A 14-year-old sibling was invited to several sleepovers, but the parents found reasons to deny permission. Both teens are annoyed because the parents buy clothes for them that are more suitable for younger children. The parents say, We dont want our kids to grow up too fast. Which term best describes this familys boundaries?
- A. Rigid
- B. Clear
- C. Enmeshed
- D. Differentiated
Correct Answer: A
Rationale: Rigid boundaries are those that do not change or flex with changing circumstances, as indicated here by parents who are reluctant to revise their roles and expectations about their children as the children mature. Enmeshed boundaries are those that have failed to differentiate or develop individually; the family shares roles and thoughts to an excessive degree, without a healthy degree of individuality. Clear boundaries are not enmeshed; they are appropriate and well maintained.