Nokea
During the initial interview with a client in crisis, the initial priority is to
- A. Assess the adequacy of the support system.
- B. Assess for substance use.
- C. Determine the precrisis level of functioning.
- D. Evaluate the potential for self-harm.
Correct Answer: D
Rationale: Safety is the priority in a crisis, so evaluating the potential for self-harm is critical before assessing support systems, substance use, or precrisis functioning.
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A nurse is assisting a patient who is working on the technique of systematic desensitization. When the patient feels anxious, the nurse can best use the principles of this technique by stating.
- A. Use the deep breathing techniques we practiced yesterday.
- B. What is the worst that will happen if you confront this fear?
- C. Tell me how you are feeling right now.
- D. I can see you are anxious. Let's stop for a minute.
Correct Answer: A
Rationale: Systematic desensitization involves using learned relaxation techniques, like deep breathing, to manage anxiety during exposure to fear-inducing stimuli.
A nurse is working with a patient with an eating disorder who refuses to eat a muffin. The nurse asks the patient 'Is there any way that you could see the muffin as just flour and water, basic nutrients your body needs?' In this statement, the nurse is using which type of therapy?
- A. Rational emotive therapy
- B. Cognitive therapy
- C. Gestalt therapy
- D. Reality therapy
Correct Answer: B
Rationale: Cognitive therapy focuses on altering thought patterns, like reframing the muffin as basic nutrients, to change behavior and perceptions.
Which one of the following statements is most accurate regarding the cohesiveness of a group in group therapy?
- A. It is commonly present in the first meeting of the group.
- B. It is necessary for the group to have maximum cohesiveness, the more the better.
- C. Group cohesiveness is the degree to which members think alike and many things are left unspoken.
- D. Cohesiveness is a desirable group characteristic that is associated with positive group outcomes.
Correct Answer: D
Rationale: Cohesiveness, developed over time, fosters cooperation and positive outcomes in group therapy, but excessive uniformity may hinder critical thinking.
A student nurse attends a self-help group as part of a class assignment. While there the student recognizes a family friend. Upon returning home, the student talks about the experience with the family. The student's actions can be described as
- A. Appropriate, persons familiar with group members are allowed self-help group membership.
- B. Appropriate; self-help groups are not professional and therefore are open to public knowledge.
- C. Inappropriate; most self-help groups have a rule of confidentiality.
- D. Inappropriate; the student should not have been allowed to attend the group.
Correct Answer: C
Rationale: Most self-help groups, like 12-step programs, maintain confidentiality, making it inappropriate to discuss attendees or content outside the group.
Which of the following considerations should have the most influence in the nurse's choice of the treatment for the client?
- A. The client's feelings and perceptions about his or her situation
- B. The nurse's beliefs about the theories of psychosocial development
- C. The nurse's familiarity with the type of treatment
- D. Any approach to treatment should work with any client.
Correct Answer: A
Rationale: The client's feelings and perceptions are critical in tailoring effective therapeutic interventions, ensuring they align with the client's needs and expectations.