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he theorist who believes that human have free will is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: B
Rationale: Carl Rogers' humanistic theory emphasizes free will and agency.
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The primary impact that the development and use of psychotropic drugs had on nursing's role in the care of clients with mental health disorders was:
- A. The availability of mental health therapies as an outpatient service.
- B. The expansion of the role assumed by professionally trained nurses.
- C. Nurses were needed to fill the gap created by a lack of medical personnel.
- D. More nurses were required to address the needs of the now treatable mental health clients.
Correct Answer: B
Rationale: The correct answer is B because the development and use of psychotropic drugs allowed nurses to take on a more expanded role in caring for clients with mental health disorders. With these medications, nurses could now actively participate in medication administration, monitoring of side effects, educating clients on drug regimens, and collaborating with other healthcare professionals in treatment planning. This increased responsibility and involvement in the treatment process led to a more significant impact on patient outcomes and overall care quality.
Choice A is incorrect because the availability of mental health therapies as an outpatient service is more influenced by various factors such as healthcare policies and funding rather than just the development of psychotropic drugs. Choice C is incorrect as the use of psychotropic drugs did not specifically create a lack of medical personnel that nurses needed to fill. Choice D is incorrect as the increase in the number of nurses was not solely due to the treatability of mental health clients but rather the expanded role that nurses took on in caring for these clients.
The nurse is conducting a family assessment. When asked about her children's performance at school, the single mother reported that her oldest, a 10-year-old, 'does OK with schoolwork but doesn't have any interest in being friends with the kids in her school.' To further investigate this situation the nurse asks the:
- A. Child why she doesn't have friends at school.
- B. Mother if her younger children have friends at school.
- C. Child what she does at home after she comes home from school.
- D. Mother to discuss the situation with the child's teacher or school counselor.
Correct Answer: C
Rationale: The correct answer is C because asking the child what she does at home after school can provide insights into her social interactions, interests, and possible reasons for not having friends at school. This approach allows the nurse to understand the child's daily routine, activities, and possible areas for intervention or support.
A: Asking the child directly why she doesn't have friends may not yield accurate information as the child may not be able to articulate her feelings or may not be comfortable discussing the issue openly.
B: Inquiring about the younger children's friendships is not relevant to understanding the oldest child's situation and may not provide meaningful insights.
D: Involving the teacher or counselor without understanding the child's perspective first may not address the underlying reasons for her lack of friends and may not be the most appropriate initial step in the assessment process.
Which treatment has been identified as a best practice for persons with borderline personality disorder?
- A. Dialectical behavioral therapy (DBT)
- B. Cognitive Behavioral Therapy (CBT)
- C. Mindfulness-Based Cognitive Therapy (MBCT)
- D. Exposure and Response Prevention (ERP)
Correct Answer: A
Rationale: The correct answer is A: Dialectical Behavioral Therapy (DBT). DBT is specifically designed for individuals with borderline personality disorder, focusing on emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness. It has shown to be effective in reducing self-harm behaviors and improving overall functioning. CBT (B) may be helpful for some symptoms but lacks the comprehensive approach of DBT. MBCT (C) is primarily used for depression and may not address the specific needs of individuals with borderline personality disorder. ERP (D) is used for anxiety disorders, not BPD.
According to the 'Self Determination Theory' of Ryan and Deci (2000), life satisfaction derives from the fulfillment of three fundamental psychological needs. These are autonomy, relatedness, and:
- A. Success
- B. Love
- C. Excellence
- D. Competence
Correct Answer: D
Rationale: Self-Determination Theory (Ryan & Deci, 2000) includes autonomy, relatedness, and competence.
You are the Nurse Manager for the trauma unit. Which of these staff comments or statements do not indicate the need for you to provide an educational activity relating to confidentiality and information security?
- A. “A computer in the hallway was left unattended and a client's medical record was visible to me.â€
- B. “I j ust saw a nursing student looking at the medical record for a client that they are NOT caring for during this clinical experience.â€
- C. “As I was walking past the nursing station, I saw a dietician reading the progress notes written by members of the laboratory department in addition to other dieticians' progress notes.â€
- D. “I refused the nursing supervisor's request to share my electronic password for the new nurse on the unit.â€
Correct Answer: D
Rationale: These scenarios highlight breaches in confidentiality and security.