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: Erikson's autonomy vs. shame/doubt stage (1-3 years) develops independence through mastery.
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The theorist who believes in social interaction is
- A. Sigmund Freud
- B. Carl Rogers
- C. Lev Vygotsky
- D. Erik Erikson
Correct Answer: C
Rationale: Lev Vygotsky's theory emphasizes social interaction as key to cognitive growth.
Which nursing activity is a direct result of the Community Mental Health Centers Act of 1963?
- A. Being a member of a client's multidisciplinary treatment team
- B. Performing an extensive admissions assessment for each hospitalized client
- C. Using physical restraints as only the last resort when client safety requires it
- D. Educating a client on the role of neurotransmitters in chronic depression
Correct Answer: A
Rationale: The correct answer is A because the Community Mental Health Centers Act of 1963 emphasized a multidisciplinary approach to mental health care, requiring nurses to be part of a client's treatment team. This legislation aimed to provide comprehensive community-based mental health services, promoting collaboration among different professionals to address clients' needs holistically.
Choice B is incorrect because extensive admissions assessments were not a direct result of this act. Choice C is incorrect as the act did not specifically address the use of physical restraints. Choice D is incorrect because educating clients on neurotransmitters is not directly linked to the Community Mental Health Centers Act of 1963.
Self-efficacy is influence by:
- A. Encouragement
- B. Discouragement
- C. Both a and b
- D. None
Correct Answer: C
Rationale: Self-efficacy is shaped by both encouragement and discouragement (verbal persuasion), per Bandura.
The current focus of performance improvement activities is to facilitate and address:
- A. Sound structures like policies and procedures
- B. Processes and how they are being done
- C. Optimal client outcomes
- D. Optimal staff performance
Correct Answer: C
Rationale: Performance improvement primarily aims at enhancing client outcomes.
Intervention with Andrew (from question 12) would include:
- A. Encouraging expression of feelings
- B. Antianxiety medications
- C. Participation in a support group
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D because a comprehensive intervention for Andrew should include all options. Encouraging expression of feelings helps him process emotions. Antianxiety medications can address his symptoms. Participation in a support group offers additional emotional support and coping strategies. Each option plays a crucial role in Andrew's holistic care, addressing his emotional, physical, and social needs. A combination of these interventions provides a well-rounded approach to support Andrew's mental health and well-being.