Nokea
In the area of psychosis, Primary care physicians (PCPs) play an important role in mental health promotion and prevention. Which of the following is the best reason?
- A. PCPs are needed to help manage the large numbers of such patients in the community.
- B. PCPs are able to refer cases to the specialists.
- C. PCPs possess the skills and medication to effectively treat cases.
- D. PCPs have a strong rapport with the patient and are in a position to identify early cases.
Correct Answer: D
Rationale: PCPs' rapport and ongoing relationship with patients position them ideally to detect early signs of psychosis, making D the best reason.
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Nurse Tonis assignment included a 41-year-old male client. Per Erikson, which developmental stage is the patient at?
- A. Focus on having a family
- B. Does not assume responsibility for his actions
- C. Unable to solve problems
- D. Perceptions are based on illusions
Correct Answer: A
Rationale: The developmental tasks for adults aged 21-45 are generativity vs. stagnation.
The psychosexual stage associated with identity is
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: C
Rationale: The phallic stage (3-6 years) shapes gender identity via identification (Freud).
The terms masculinity and femininity are most closely linked to
- A. Sexism
- B. Sex
- C. Patriarchy
- D. Gender
Correct Answer: D
Rationale: Masculinity and femininity are gender constructs defining behavioral expectations.
Children develop a sense of initiative between
- A. 0-1 year
- B. 1-3 years
- C. 3-5 years
- D. 5-7 years
Correct Answer: C
Rationale: Initiative vs. guilt (3-5 years, Erikson) fosters purpose.
Children of a widowed parent confer with the nurse; their surviving parent repeatedly relates the details of finding the deceased parent not breathing, performing cardiopulmonary resuscitation, going to the hospital by ambulance, and seeing the pronouncement of death. The family asks, What can we do? The nurse should counsel the family:
- A. to share their own feelings with the surviving parent and ask for the retelling to stop.
- B. that retelling the story should be limited to once daily to avoid unnecessary stimulation.
- C. that retelling memories is to be expected as part of the aging process.
- D. that repeating the story is a helpful and a necessary part of grieving.
Correct Answer: D
Rationale: Nurses are encouraged to tell bereaved patients that telling the personal story of loss as many times as needed is acceptable and healthy; repetition is a helpful and necessary part of grieving. Limits should not be placed on the retelling.