he theorist who believes that human behavior is influenced by environment is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: C
Rationale: B.F. Skinner's behaviorism attributes behavior to environmental stimuli.
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Which of the following personnel do has the “right to know†medical information?
- A. The facility's Performance Improvement Director who is not a healthcare person and who has no direct contact with clients
- B. A nursing student who is caring for a client under the supervision of the nursing instructor
- C. The facility's Safety Officer who is not a healthcare person and who has no direct contact with clients
- D. A department supervisor with no direct or indirect care duties
Correct Answer: B
Rationale: Personnel without direct client contact generally do not have the 'right to know'.
The psychosexual stage associated with toilet training is
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: B
Rationale: The anal stage (1-3 years, Freud) involves control over bodily functions.
----aims at discussing and understanding the problem, advising and empowering him to take a decision concerning his/her career or life goals in one-to-one sessions:
- A. Guidance
- B. Counseling
- C. Advice
- D. Advise
Correct Answer: B
Rationale: Counseling empowers decision-making through one-on-one problem exploration (Rogers).
The nurse is concerned that a depressed client may be displaying a nonverbal suicidal threat when he presents another client with his favorite shirt as a 'gift.' The nurse's initial intervention is to:
- A. Place the client on suicide precautions including 15-minute checks.
- B. Ask the client if he is experiencing suicidal ideations with a plan to hurt himself.
- C. Support the client by telling him that he will need the shirt when he's discharged.
- D. Document that the client has shown behaviors that are likely subtle suicide threats.
Correct Answer: B
Rationale: The correct answer is B because asking the client directly about suicidal ideations with a plan to hurt himself is the most immediate and appropriate intervention to assess the client's safety. This approach allows the nurse to directly address the potential risk of suicide and initiate appropriate interventions if necessary. Placing the client on suicide precautions (choice A) without assessing the client's thoughts may be premature and intrusive. Supporting the client about the shirt (choice C) does not address the underlying concern of suicidal behavior. Simply documenting the behavior (choice D) without taking immediate action to assess and address the risk is insufficient in ensuring the client's safety.
The nurse is managing the care of an older adult who has recently immigrated to the United States from an Asian country. The client is depressed and is neither sleeping nor eating well. In order to best facilitate the client's care in a culturally competent manner, the nurse:
- A. Encourages the client's adult children to visit as often as possible especially around meals and bedtime.
- B. Assesses the client's ability to understand the importance of both eating and sleeping in a healthy manner.
- C. Discusses interventions that may support the client in sleeping and eating with the adult members of the family.
- D. Requests a consult with the dietitian to discuss how to supplement the client's diet while using food to effectively promote sleep.
Correct Answer: C
Rationale: Rationale:
1. Choice C is correct as it involves discussing interventions with the family, respecting the client's cultural norms and involving them in the care plan.
2. Choice A assumes family involvement without assessing the client's preferences or cultural beliefs, potentially imposing Western values.
3. Choice B focuses solely on individual assessment without considering the importance of family dynamics in the client's culture.
4. Choice D addresses dietary concerns but overlooks the holistic approach of involving the family in the care plan.
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