Nokea
It occurs when the group has matured and attains a feeling of cohesiveness:
- A. Forming
- B. Storming
- C. Norming
- D. Performing
Correct Answer: D
Rationale: Performing (Tuckman) is when the group functions effectively as a cohesive, productive unit.
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You are caring for a client who has been assessed as having a past history of violent and dangerous behaviors towards others. You, as the nurse, are concerned about this client's past history and the dangers that may adversely affect others including staff, visitors and other clients on the unit. What is the first thing that you should do to prevent violence towards others?
- A. Restrain the client
- B. Place the client in seclusion
- C. Get an order for a sedating medication
- D. Establish trust with the client.
Correct Answer: D
Rationale: Establishing trust (D) is the first step to de-escalate potential violence.
The psychological test measure creativity is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: D
Rationale: The TAT can assess creativity through the originality of stories generated.
When meeting an androgynous-appearing patient for the first time, what is the best approach?
- A. Assume that the patient is homosexual and begin by taking her medical history
- B. Ask the patient if she is a lesbian upon introducing oneself
- C. Refer to the patient by full name, rather than using an engendered prefix
- D. Avoid discussing the patient's gender or sexual preferences
Correct Answer: C
Rationale: Using a full name avoids assumptions and maintains neutrality.
Which client has met the criteria for psychiatric homebound care?
- A. A 67-year-old retired teacher who has been depressed since the death of his longtime partner
- B. A 21-year-old diagnosed with paranoid schizophrenia who has delusions that the world is about to end
- C. A 45-year-old who, for the last 5 years, has experienced severe panic attacks whenever she attempts to leave her home
- D. A 16-year-old who has demonstrated obsessive-compulsive behaviors involving cleaning rituals since she was 10 years old
Correct Answer: C
Rationale: The correct answer is C because the client meets the criteria for psychiatric homebound care by experiencing severe panic attacks when trying to leave the home. This indicates significant impairment in functioning outside the home.
Explanation:
1. Criterion met: The client's severe panic attacks prevent her from leaving the home, indicating a need for care within the home environment.
2. Impairment in functioning: The client's panic attacks significantly impact her ability to engage in daily activities outside the home.
3. Duration of symptoms: The client has experienced these severe panic attacks for the last 5 years, indicating a chronic and persistent condition.
Summary of other choices:
A: Depression alone does not necessarily warrant psychiatric homebound care.
B: Delusions related to paranoid schizophrenia do not inherently restrict the client to homebound care.
D: Obsessive-compulsive behaviors, while impactful, do not specifically require homebound care unless they severely impair functioning outside the home.
A parent is admitted to a chemical dependency treatment unit. The patients spouse and adolescent children participate in a family session. What is the most important aspect of this familys assessment?
- A. Spouses codependent behaviors
- B. Interactions among family members
- C. Patients reaction to the familys anger
- D. Childrens responses to the family sessions
Correct Answer: B
Rationale: Interactions among all family members are the raw material for family problem solving. By observing interactions, the nurse can help the family make its own assessments of strengths and deficits. The other options are narrower in scope when compared with the correct option.