In which stage of life is fantasy stage:
- A. 3-7 years
- B. 6-11 years
- C. 12-18 years
- D. 21-28 years
Correct Answer: B
Rationale: The fantasy stage (career development, Ginzberg) occurs around 6-11 years, marked by imaginative career ideas.
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Which nursing activity demonstrates the role of a professional psychiatric nurse as identified by Hildegard Peplau?
- A. Managing the milieu
- B. Caring for the client's physiological needs
- C. Providing counseling
- D. Documenting client behaviors
Correct Answer: C
Rationale: The correct answer is C: Providing counseling. Peplau, a renowned nursing theorist, emphasized the importance of the nurse-client relationship and therapeutic communication in psychiatric nursing. Counseling is a fundamental aspect of the nurse's role in helping clients explore thoughts, emotions, and behaviors to promote healing and growth. It allows for a deeper understanding of the client's needs and facilitates positive change. Managing the milieu (A) focuses on the physical environment, not the therapeutic relationship. Caring for physiological needs (B) is important but does not capture the essence of Peplau's theory. Documenting client behaviors (D) is crucial for monitoring progress but does not directly align with Peplau's emphasis on therapeutic communication.
Which of the following are risk factors for pathological gambling?
- A. Impulsivity.
- B. Alcohol abuse.
- C. Parents who gamble.
- D. All of the above
Correct Answer: D
Rationale: All listed factors"impulsivity, alcohol abuse, parental gambling, and tolerance"are recognized risk factors for developing pathological gambling.
You are caring for a client who has a doctor's order for 1200 mLs of intravenous fluid every 8 hours. Your shift began at 8 am and there were $600 \mathrm{mLs}$ remaining in the intravenous fluid bag. How many mLs would you expect to see at 12 noon?
- A. 0 mL
- B. 5 mL
- C. 10 mL
- D. 7.5 mL
Correct Answer: A
Rationale: 1200 mL / 8 hr = 150 mL/hr; 4 hr (8 am-12 pm) x 150 mL/hr = 600 mL; 600 mL - 600 mL = 0 mL (A).
Place the following phases of crisis in the correct sequential order. Order each response with a number from first to last, with #1 as the first phase of crisis to #4 which is the fourth phase of crisis. 1. The signs and symptoms of the General Adaptation Syndrome 2. Detachment and disorientation 3. Trying alternative methods of coping 4. The use of psychological ego defense mechanisms
- A. 3,2,1,4
- B. 1,2,3,4
- C. 4,3,2,1
- D. 4,3,1,2
Correct Answer: B
Rationale: Crisis phases (B: 1,2,3,4) follow GAS, detachment, coping attempts, and defense mechanisms.
Which of the following actions demonstrates that the nurse has an understanding of the impact that continued advancements in psychopharmacology has on both client outcomes and professional psychiatric nursing practice?
- A. Working towards achieving advanced practice nursing credentials in psychiatric nursing
- B. Stressing the importance of medication therapy compliance with each client upon discharge
- C. Participating in interdisciplinary treatment teams as a means of staying current regarding the latest clinical treatments and guidelines
- D. Accessing information on the best evidence-based practices regarding the psychopharmacology medications being prescribed to his or her clients
Correct Answer: D
Rationale: Step-by-step rationale for why Answer D is correct:
1. Accessing information on evidence-based practices shows the nurse's commitment to staying informed about psychopharmacology advancements.
2. Being knowledgeable about medications helps in making informed decisions for client care, ultimately leading to better outcomes.
3. Understanding evidence-based practices enhances the nurse's ability to provide safe and effective medication management.
4. By accessing information on best practices, the nurse demonstrates a proactive approach to enhancing professional psychiatric nursing practice.
Summary:
Answer D is correct because it directly addresses the impact of advancements in psychopharmacology on client outcomes and professional psychiatric nursing practice by emphasizing the importance of staying informed and using evidence-based practices. Other choices do not specifically highlight the nurse's understanding of the impact of psychopharmacology advancements.