Nokea
Anna's dog Lucky got away from her while they were taking a walk. He ran into the street and was hit by a car. Anna cannot remember any of these circumstances of his death. This is an example of what defense mechanism?
- A. Rationalization
- B. Suppression
- C. Denial
- D. Repression
Correct Answer: D
Rationale: Anna's inability to remember the traumatic circumstances of Lucky's death is an unconscious blocking of distressing memories, which is characteristic of repression, aligning with option d.
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The theorist associated with moral development is
- A. Sigmund Freud
- B. Lawrence Kohlberg
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: B
Rationale: Kohlberg's six stages describe moral development.
You are caring for a client at the end of life. The client tells you that they are grateful for having considered and decided upon some end of life decisions and the appointments of those who they wish to make decisions for them when they are no longer able to do so. During this discussion with the client and the client's wife, the client states that “my wife and I are legally married so I am so glad that she can automatically make all healthcare decisions on my behalf without a legal durable power of attorney when I am no longer able to do so myself†and the wife responds to this statement with, “that is not completely true. I can only make decisions for you and on your behalf when these decisions are not already documented on your advance directive.†How should you, as the nurse, respond to and address this conversation between the husband and wife and the end of life?
- A. You should respond to the couple by stating that only unanticipated treatments and procedures that are not included in the advance directive can be made by the legally appointed durable power of attorney for healthcare decisions.
- B. You should be aware of the fact that the wife of the client has a knowledge deficit relating to advance directives and durable powers of attorney for healthcare decisions and plan an educational activity to meet this learning need.
- C. You should be aware of the fact that the client has a knowledge deficit relating to advance directives and durable powers of attorney for healthcare decisions and plan an educational activity to meet this learning need.
- D. You should reinforce the wife's belief that legally married spouses automatically serve for the other spouse's durable power of attorney for health care decisions and that others than the spouse cannot be legally appointed while people are married
Correct Answer: B
Rationale: The wife demonstrates a knowledge deficit regarding advance directives and durable powers of attorney, necessitating education.
A parent says, My son and I argue constantly since he started using drugs. When I talk to him about not using drugs, he tells me to stay out of his business. What is the nurses first most appropriate action?
- A. Educate the parent about stages of family development.
- B. Report the son to law enforcement authorities.
- C. Refer the son for substance abuse treatment.
- D. Make a referral for family therapy.
Correct Answer: D
Rationale: Family therapy is indicated, and the nurse should provide a referral. Reporting the child to law enforcement would undermine trust and violate confidentiality. The other distracters may occur later.
Rates of illiteracy can often be determined based on which of the following criteria?
- A. U.S. citizenship
- B. Age
- C. Socioeconomic status
- D. None of the above
Correct Answer: C
Rationale: Socioeconomic status strongly correlates with literacy levels.
The child's ability to understand patterns develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Pattern recognition, tied to logical thinking, emerges in the concrete operational stage (Piaget).