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As the nurse in a primary care clinic, which cultural concern would you integrate into your psychological assessments of your clients?
- A. The concern related to the client's cultural reluctance to report psychological symptoms because of some possible culturally based stigma associated with psychiatric mental health disorders
- B. Concerns revolving around the lack of financial and health insurance resources to pay for psychological care
- C. Concerns related to the compliance with psychological treatment regimens because of the client's lack of social support systems
- D. The concern related to the culturally based client apathy about nursing care and nursing assessments
Correct Answer: A
Rationale: Cultural stigma (A) affects psychological reporting.
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Positive psychology focuses too much on the
- A. Groups
- B. Individual
- C. Interpersonal
- D. Community
Correct Answer: B
Rationale: Positive psychology (Seligman) emphasizes individual strengths, critiqued for neglecting groups.
The psychological test Thematic Apperception Test measures
- A. Intelligence
- B. Personality
- C. Aptitude
- D. Behavior
Correct Answer: B
Rationale: TAT assesses personality through narrative responses to pictures.
An 11-year-old says, My parents dont like me. They call me stupid and say they wish I were never born. It doesn't matter what they think because I already know Im dumb. Which nursing diagnosis applies to this child?
- A. Chronic low self-esteem related to negative feedback from parents
- B. Deficient knowledge related to interpersonal skills with parents
- C. Disturbed personal identity related to negative self-evaluation
- D. Complicated grieving related to poor academic performance
Correct Answer: A
Rationale: The child has indicated a belief in being too dumb to learn. The child receives negative and demeaning feedback from the parents. The child has internalized these messages, resulting in a low self-esteem. Deficient knowledge refers to knowledge of health care measures. Disturbed personal identity refers to an alteration in the ability to distinguish between self and non-self. Grieving may apply, but a specific loss is not evident in the scenario. Low self-esteem is more relevant to the childs statements.
Nurses would expect that a nonthreatening form of therapy for a child who has been sexually abused would be:
- A. Systematic desensitization.
- B. Group therapy.
- C. Art or play therapy.
- D. Rational emotive therapy.
Correct Answer: C
Rationale: Art and play therapy allow the child to work through feelings without having to have the words for them.
As death approaches, a patient diagnosed with acquired immunodeficiency syndrome (AIDS) says, I dont want to see a lot of visitors anymore. Just my parents and my sibling can come in for a while each day. What action should the nurse take?
- A. Ask the patient to reconsider the decision because many interested and caring friends can be sources of support.
- B. Discuss the request with the parents and sibling. Suggest that they explain the patients decision to friends.
- C. Suggest that the patient discuss these wishes with the health care provider.
- D. Place a no visitors sign on the patients door.
Correct Answer: B
Rationale: As many patients approach death, they begin to withdraw. In the stage of acceptance, many patients are exhausted and tired, and interactions of a social nature are a burden. Many prefer to have someone present at the bedside who will sit without constantly talking. The correct response demonstrates the nurses advocacy for the patients preferences.