Nokea
Intervention with Andrew (from question 12) would include:
- A. Encouraging expression of feelings
- B. Antianxiety medications
- C. Participation in a support group
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D because a comprehensive intervention for Andrew should include all options. Encouraging expression of feelings helps him process emotions. Antianxiety medications can address his symptoms. Participation in a support group offers additional emotional support and coping strategies. Each option plays a crucial role in Andrew's holistic care, addressing his emotional, physical, and social needs. A combination of these interventions provides a well-rounded approach to support Andrew's mental health and well-being.
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Annie is a 5 year old who has been the victim of sexual abuse by a family member. Which of the following therapeutic techniques would be especially useful in helping Annie express her feelings?
- A. Individual psychotherapy
- B. Behavior modification
- C. Family therapy sessions
- D. Drawing
Correct Answer: D
Rationale: Because she is so young, Annie may have great difficulties expressing her feelings and experiences in words. Drawing allows her self-expression in an age-appropriate manner.
You are providing care to a permanently disabled Iraqi war veteran who is 28 years of age. When he returned home from the war at the age of 24 years of age 2 years ago he was deemed permanently disabled by both the Veterans Administration(VA) and the Social Security Administration. He receives a substantial monthly service connected disability check from the Veterans Administration and he has no spouse or legal dependents. Which type of governmental health insurance is he now entitled to?
- A. Only the VA health care services because he is not 65 years of age
- B. Medicare because he has been deemed permanently disabled for 2 years
- C. Medicaid because he is permanently disabled and not able to work
- D. Choices B and C
Correct Answer: B
Rationale: Medicare eligibility extends to individuals who have been deemed permanently disabled for 2 years.
Parents of a teenager recently diagnosed with serious mental illness express dismay. One parent says, Our hopes for our childs future are ruined. We probably wont ever have grandchildren. The nurse will use interventions to assist with:
- A. denial.
- B. grieving.
- C. acting out.
- D. manipulation.
Correct Answer: B
Rationale: Grief is a common reaction to having a family member diagnosed with mental illness. The grief stems from actual or potential losses, such as the familys ability to function, financial well-being, and altered future. Data do not support choosing any of the other options.
During the third week of treatment, the spouse of a patient in an alcoholism rehabilitation program says, 'After discharge, I’m sure everything will be just fine.' Which remark by the nurse will be most helpful to the spouse?
- A. It is good that you’re supportive of your spouse’s sobriety and want to help maintain it.'
- B. Although sobriety solves some problems, new ones may emerge as one adjusts to living without alcohol.'
- C. It will be important for you to structure life to avoid as much stress as possible. You will need to provide social protection.'
- D. Remember that alcoholism is a disease of self-destruction. You will need to observe your spouse’s behavior carefully.'
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the spouse's optimism while also gently highlighting the potential challenges that may arise during the recovery process. By pointing out that new problems may emerge as the patient adjusts to a life without alcohol, the nurse prepares the spouse for potential difficulties and encourages realistic expectations.
Choice A is incorrect because it only acknowledges the spouse's support without addressing the potential challenges ahead. Choice C is incorrect because it focuses solely on stress avoidance rather than preparing for the overall adjustment process. Choice D is incorrect because it emphasizes monitoring the patient's behavior rather than addressing the spouse's outlook and potential struggles.
With growing age motivation reduces naturally.
- A. Extrinsic
- B. Frequent
- C. Intrinsic
- D. Concentrated
Correct Answer: C
Rationale: Intrinsic motivation, driven by internal rewards, tends to decline with age due to shifts in priorities.