Nokea
Children develop autonomy between
- A. 0-1 year
- B. 1-3 years
- C. 3-5 years
- D. 5-7 years
Correct Answer: B
Rationale: Autonomy vs. shame/doubt (1-3 years, Erikson) builds independence.
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A client has not been taking his antidepressant medication as prescribed and is admitted with suicidal ideations. The nurse demonstrates an understanding of a possible underlying cause of a client's noncompliance with the treatment plan designed to help manage his depression when:
- A. Asking, 'Do you feel that you don't have any control over your depression?'
- B. Assessing the client's understanding of the risk depression presents for suicide.
- C. Documenting the son's statement that, 'We will do everything we can to help.'
- D. Observing the client interacting with family members when they visit the mental health unit.
Correct Answer: A
Rationale: The correct answer is A because it addresses the potential underlying cause of noncompliance - the client's sense of lack of control over their depression, which can lead to hopelessness and suicidal ideations. By asking this question, the nurse can assess the client's perception of their depression and empower them to discuss their feelings of helplessness.
Choice B focuses on assessing the client's understanding of the risk of suicide but does not directly address the underlying cause of noncompliance. Choice C involves documenting a supportive statement from the client's son, which is not directly related to the client's noncompliance. Choice D involves observing the client's interaction with family members, which may provide valuable information but does not directly address the underlying cause of noncompliance.
Case-finding is...
- A. Asking friends/family if they know of people in need so you can build your client base
- B. Looking for folders misplaced on your desktop at work
- C. Finding the particular points of a situation on which to build the client case
- D. N/A
Correct Answer: C
Rationale: Case-finding identifies key situational elements to inform intervention.
Multiple sclerosis (MS) is a potentially disabling disease of the brain and
- A. Head
- B. Spinal cord
- C. Muscles
- D. Nervous system
Correct Answer: B
Rationale: MS affects the brain and spinal cord, disrupting nerve signals.
Which of the following is the best way to defuse cultural misunderstandings that serve as obstacles in cross-cultural care?
- A. Reinforce personal authority in the doctor-patient relationship
- B. Advocate changes in current medical school curriculum
- C. Avoid serving patients from particular backgrounds
- D. Maintain open and honest communication with patients
Correct Answer: D
Rationale: Open communication resolves misunderstandings and builds trust.
A patient was admitted last night with a hip fracture sustained in a fall while intoxicated. The patient points to the Buck traction and screams, 'Somebody tied me up with ropes.' The patient is experiencing:
- A. illusion
- B. delusion
- C. hallucinations
- D. hypnagogic phenomenon
Correct Answer: A
Rationale: The correct answer is A: illusion. An illusion is a misinterpretation of a real external stimulus. In this case, the patient is misperceiving the traction as ropes due to the altered mental state from intoxication. It is a sensory distortion based on a real object. Delusion (B) is a fixed false belief, not related to sensory perceptions. Hallucinations (C) are false sensory perceptions without external stimulus. Hypnagogic phenomenon (D) refers to sensory experiences during the transition from wakefulness to sleep, not applicable here.