Generally, what is the most appropriate response when a patient asks an offensive question?
- A. Remove oneself from the room to regain control of emotions
- B. Tactfully defend one's position by involving another colleague
- C. Initiate a respectful discussion to prevent a defensive counterreaction
- D. Confront the patient with a defensive response
Correct Answer: C
Rationale: Respectful discussion de-escalates tension and maintains rapport.
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In what order did Freud believe the three parts of our personality develop?
- A. Ego, superego, id
- B. Superego, id, ego
- C. Id, ego, superego
- D. None of these
Correct Answer: C
Rationale: Freud's order is id (birth), ego (early childhood), superego (later childhood).
Select the ethical term that is accurately paired with it brief description.
- A. Deontology: The school of ethical of thought that requires that only the means to the goal must be ethical.
- B. Utilitarianism: The school of ethical of thought that requires that only the end goal must be ethical.
- C. Deontology: The school of ethical of thought that requires that only the end goal must be ethical.
- D. Utilitarianism: The school of ethical of thought that requires that only the means to the goal must be ethical.
Correct Answer: A
Rationale: Deontology focuses on ethical means, while utilitarianism emphasizes the end goal.
Differences in how time is spent generally
- A. Continues
- B. Gender schema
- C. Varies
- D. Gender stereotypes
Correct Answer: C
Rationale: Time use varies by individual, culture, and context.
How should a health care provider respond to a colleague's complaints about a patient that might reflect ethnic insensitivity?
- A. Understand that the colleague's complaints are to be expected and don't respond
- B. Emphasize the primary importance of compassion toward patients
- C. Chastise the colleague for expressing personal bias
- D. Sympathize with the colleague's complaints and draw from personal experience
Correct Answer: B
Rationale: Reinforcing compassion promotes professionalism and cultural sensitivity.
A nurse working with a person whose spouse recently died uses cheer and humor to lift the persons spirits. At one point, the widowed person smiles briefly. What analysis of this scenario is correct?
- A. The nurses technique was effective.
- B. Use of humor should be added to the plan of care.
- C. This approach may prove useful in other, similar situations.
- D. The nurse needs supervision; the communication technique was not appropriate.
Correct Answer: D
Rationale: Clinical supervision will review the nurses actions and thoughts and help the nurse arrive at a more therapeutic approach. Attempts at cheering up a patient who is depressed serve only to emphasize the disparity between the patients mood and that of others. Active listening should be the technique used by the nurse. The incorrect options suggest the approach is therapeutic when it is not.