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During an assessment interview with a newly admitted client, the nurse identifies a sense of anger developing in response to the client's defiant statements. In order to maintain a therapeutic environment, the nurse:
- A. Asks that another nurse continue the assessment.
- B. Identifies for the client the inappropriateness of his statements.
- C. Shares with the client that he appears angry about being admitted.
- D. Postpones the remainder of the interview until the client is more cooperative.
Correct Answer: C
Rationale: Rationale:
C is correct because it acknowledges the client's emotions without judgment, fostering trust and open communication. It validates the client's feelings and helps explore the underlying issues. A avoids addressing the situation directly. B could escalate the client's defensiveness. D may reinforce the client's behavior by allowing avoidance.
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The psychological test measure creativity is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: D
Rationale: The TAT can assess creativity through the originality of stories generated.
The nurse psychotherapist is working with the Jones family in the outpatient mental health clinic. The husband says, 'We can’t agree on anything! And it seems like every time we disagree on something it ends up in a screaming match.' Which of the following prescriptions by the nurse represents a paradoxical intervention for the Jones family?
- A. Mr. and Mrs. Jones must not have a disagreement for one full day.
- B. Mr. and Mrs. Jones will yell at each other on Tuesdays and Thursdays from 8 p.m. until 8:10 p.m.
- C. Mr. and Mrs. Jones must refrain from yelling at each other until the next counseling session.
- D. Mr. and Mrs. Jones must not discuss serious issues until they can do so without yelling at each other.
Correct Answer: B
Rationale: The correct answer is B because a paradoxical intervention involves prescribing the symptom or issue that the client is struggling with. In this case, the Jones family is experiencing frequent yelling matches when they disagree. By prescribing a specific time for them to yell at each other, the nurse is challenging the dysfunctional pattern and creating an opportunity for them to confront and potentially change their behavior.
Choice A is incorrect because it simply avoids the issue without addressing the underlying problem. Choice C is incorrect as it also avoids the issue by postponing the yelling until the counseling session. Choice D is incorrect because it suggests avoiding serious discussions altogether, which doesn't address the root cause of the conflict.
The psychological test measure self-concept is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: D
Rationale: The TAT can reveal self-concept through the personal narratives elicited.
Which of the following is an ethical obligation of physicians?
- A. Patience
- B. Veracity
- C. Mercy
- D. Honor
Correct Answer: B
Rationale: Veracity, or truthfulness, is a core ethical duty in medicine.
----results in self-development and helps a person to plan his present and future wisely:
- A. Guidance
- B. Counseling
- C. Advice
- D. Advise
Correct Answer: A
Rationale: Guidance supports self-development and planning, often in career or educational contexts.