Describe three of the seven SFT interventions.
- A. Joining, boundary-making, unbalancing
- B. Lecturing, punishing, isolating
- C. Analyzing dreams, free association, transference
- D. Mediation, arbitration, negotiation
Correct Answer: A
Rationale: Joining builds rapport, boundary-making clarifies roles, unbalancing shifts power dynamics in SFT.
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Which of these is not one of Biesteks's Seven Principles of Relationship
- A. Acceptance
- B. Independence
- C. Controlled emotional involvement
- D. Confidentiality
Correct Answer: B
Rationale: Independence is not among Biestek's original seven; the others are core principles.
When administering medications, a nurse would hold which medication for a patient who presents with jaundice? A. Valium B. Divalproex (Depakote) C. Lithium D. Verapamil
- A. Valium
- B. Divalproex (Depakote)
- C. Lithium
- D. Verapamil
Correct Answer: B
Rationale: The correct answer is B: Divalproex (Depakote). Jaundice is a condition characterized by yellowing of the skin and eyes due to liver dysfunction. Divalproex is metabolized in the liver, and in patients with jaundice, liver function may be compromised, leading to potential toxicity. Therefore, holding Divalproex for a patient with jaundice is essential to prevent further liver damage.
A: Valium is primarily metabolized in the liver, but it is generally safe to use in patients with mild to moderate liver impairment.
C: Lithium is primarily cleared through the kidneys, so liver dysfunction would not directly impact its clearance.
D: Verapamil is also primarily metabolized in the liver, but it is not contraindicated in patients with jaundice unless there is severe liver impairment.
contribute(s) to homeostasis by selfregulation and helps to maintain the stability of relationships.
- A. Open systems
- B. Closed systems
- C. Negative feedback
- D. Positive feedback
Correct Answer: C
Rationale: Negative feedback stabilizes systems by counteracting deviations.
The client's chart indicates that she has experienced trauma to the cerebral cortex as a result of injuries sustained during an attempted suicide. Which observation is most likely the result of this injury?
- A. Client is often found crying into her pillow.
- B. Client demonstrates involuntary twitching of facial muscles.
- C. Client states, 'What do you mean 'it's raining cats and dogs'?'
- D. Client asks, 'Can you address this letter to my mom; I forget her address?'
Correct Answer: C
Rationale: The correct answer is C because trauma to the cerebral cortex can lead to difficulties understanding and interpreting language, resulting in the client's statement of confusion about the idiom "raining cats and dogs." This type of injury can affect the client's language comprehension and expression.
Choice A is incorrect because crying into a pillow is not directly related to trauma in the cerebral cortex. Choice B is incorrect as involuntary twitching of facial muscles is more indicative of motor-related issues, not language comprehension problems. Choice D is also incorrect as forgetting an address is more related to memory issues rather than language comprehension problems resulting from cerebral cortex trauma.
An example of a maturational crisis would be:
- A. Experiencing an unplanned pregnancy.
- B. Losing one's job within months of retiring.
- C. Working at a bank that was recently robbed.
- D. Having one's only child leave home to attend college.
Correct Answer: D
Rationale: The correct answer is D because having one's only child leave home to attend college is an example of a maturational crisis. This event represents a significant life transition that can trigger emotional distress and force a reevaluation of one's identity and roles as a parent. It is a normal developmental milestone that signifies a shift in family dynamics and requires adjustment to an empty nest.
A: Experiencing an unplanned pregnancy is not a maturational crisis as it is more related to a situational crisis.
B: Losing one's job within months of retiring is not a maturational crisis but rather a situational crisis related to financial security.
C: Working at a bank that was recently robbed is not a maturational crisis but a situational crisis related to work safety and stress.