Annie is a 5 year old who has been the victim of sexual abuse by a family member. Which of the following therapeutic techniques would be especially useful in helping Annie express her feelings?
- A. Individual psychotherapy
- B. Behavior modification
- C. Family therapy sessions
- D. Drawing
Correct Answer: D
Rationale: Because she is so young, Annie may have great difficulties expressing her feelings and experiences in words. Drawing allows her self-expression in an age-appropriate manner.
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Which statement made by a client who has been the victim of physical abuse by her partner supports the nurse's belief that the client has developed competence?
- A. Women in my family seem to be destined to be victims.'
- B. I have the strength to leave if I ever begin to feel threatened.'
- C. My partner loves me but he has an anger management issue.'
- D. He cares about me and has promised never to hurt me again.'
Correct Answer: B
Rationale: The correct answer is B because it demonstrates the client's understanding of her own agency and ability to take control of her situation. By acknowledging her strength to leave if she feels threatened, the client shows an awareness of her own capabilities and empowerment. This statement indicates that the client is moving towards autonomy and taking steps to ensure her safety.
Choice A reflects a sense of fatalism and resignation, which does not demonstrate competence. Choice C minimizes the abuse by attributing it to an external factor (anger management issue) rather than recognizing it as a pattern of behavior. Choice D relies on the abuser's promises rather than the client's own actions and decision-making, which does not indicate competence.
During the third week of treatment, the spouse of a patient in an alcoholism rehabilitation program says, 'After discharge, I’m sure everything will be just fine.' Which remark by the nurse will be most helpful to the spouse?
- A. It is good that you’re supportive of your spouse’s sobriety and want to help maintain it.'
- B. Although sobriety solves some problems, new ones may emerge as one adjusts to living without alcohol.'
- C. It will be important for you to structure life to avoid as much stress as possible. You will need to provide social protection.'
- D. Remember that alcoholism is a disease of self-destruction. You will need to observe your spouse’s behavior carefully.'
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the spouse's optimism while also gently highlighting the potential challenges that may arise during the recovery process. By pointing out that new problems may emerge as the patient adjusts to a life without alcohol, the nurse prepares the spouse for potential difficulties and encourages realistic expectations.
Choice A is incorrect because it only acknowledges the spouse's support without addressing the potential challenges ahead. Choice C is incorrect because it focuses solely on stress avoidance rather than preparing for the overall adjustment process. Choice D is incorrect because it emphasizes monitoring the patient's behavior rather than addressing the spouse's outlook and potential struggles.
Is a technique that gets children going in the desired direction
- A. Punishment
- B. Modeling
- C. Demonstrating
- D. Leading
Correct Answer: B
Rationale: Modeling (Bandura) guides behavior through example.
The psychological test measure projective personality is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: A
Rationale: The Rorschach test uses projective techniques to uncover personality traits.
What should be considered when assessing the effectiveness of the dosage of Valium a patient has been receiving for six months?
- A. Potential for tolerance/dependence exists - doses may need to be increased
- B. Gastrointestinal disturbances
- C. Sexual dysfunction
- D. Selective serotonin reuptake inhibitors (SSRIs)
Correct Answer: A
Rationale: The correct answer is A: Potential for tolerance/dependence exists - doses may need to be increased. When assessing the effectiveness of Valium dosage, it's crucial to consider tolerance and dependence because long-term use can lead to reduced efficacy, necessitating dose adjustments. This is important for ensuring the patient receives the optimal therapeutic benefit. Gastrointestinal disturbances (B) and sexual dysfunction (C) are potential side effects of Valium but are not directly related to assessing dosage effectiveness. Selective serotonin reuptake inhibitors (D) are a different class of medications and not relevant to evaluating Valium dosage.