Nokea
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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Which question best assesses an individual's ability to cope with the potential emotional crisis resulting from the death of a parent?
- A. Have you ever lost a loved one before?'
- B. Do you think you will be able to cope well?'
- C. Do you feel you have supportive people to rely upon?'
- D. Are you able to draw on fond memories of your parent?'
Correct Answer: A
Rationale: The correct answer is A, "Have you ever lost a loved one before?" This question assesses the individual's prior experience with loss, providing insight into their coping mechanisms. It allows the individual to reflect on past experiences and potentially apply strategies used previously. Choice B is too direct and may not accurately predict coping ability. Choice C focuses on external support rather than individual coping skills. Choice D assumes positive memories are always accessible, which may not be the case in grief.
Sal va dor was the first person to create
- A. Criticism
- B. Strategic approach
- C. Standard approach
- D. Client counseling
Correct Answer: B
Rationale: Salvador Minuchin pioneered the strategic approach in family therapy, focusing on systemic change.
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.
The Mini Mental State Exam is most appropriately used when the:
- A. Focus of the exam is the client's cognitive function.
- B. Interview must be completed in 10 minutes or less.
- C. Client is agitated and unwilling to complete the full version.
- D. Test is meant to establish a client's mood at the time of admission.
Correct Answer: A
Rationale: The correct answer is A because the Mini Mental State Exam is specifically designed to assess a client's cognitive function, including orientation, memory, attention, and language skills. This makes it ideal for evaluating cognitive impairment, dementia, and other neurological conditions. The other choices are incorrect because B focuses on time constraints rather than the purpose of the exam, C addresses behavioral issues rather than assessment goals, and D pertains to mood assessment rather than cognitive function evaluation. Therefore, A is the best choice for the appropriate use of the Mini Mental State Exam.
A patient admitted yesterday for injuries sustained in a fall while intoxicated believes bugs are crawling on the bed. The patient is anxious, agitated, and diaphoretic. What is the priority nursing diagnosis?
- A. Ineffective airway clearance
- B. Ineffective coping
- C. Ineffective denial
- D. Risk for injury
Correct Answer: D
Rationale: The correct answer is D: Risk for injury. This is the priority nursing diagnosis because the patient's current state of agitation and anxiety, coupled with the belief of bugs crawling on the bed, poses an immediate risk for self-injury. The patient's altered mental status and intoxication increase the likelihood of accidental harm.
Explanation for other choices:
A: Ineffective airway clearance - While this is always a critical concern, the patient's current presentation does not indicate any immediate threat to the airway.
B: Ineffective coping - While the patient may be experiencing distress, the primary focus should be on addressing the risk of injury given the patient's altered mental status.
C: Ineffective denial - While the patient may be experiencing hallucinations, the primary concern is the risk of injury rather than the patient's denial of the situation.