Joe, who has come to the mental health clinic with symptoms of depression, says to the nurse, 'My father is dying. I have always hated my father. He physically abused me when I was a child. We haven't spoken for many years. He wants to see me now, but I don't know if I want to see him.' With which spiritual need is Joe struggling?
- A. Forgiveness
- B. Faith
- C. Hope
- D. Meaning and purpose in life
Correct Answer: A
Rationale: Joe's struggle with his father, marked by past abuse and current reluctance to reconnect, indicates a need to address forgiveness as a spiritual concern, aligning with option a.
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When preparing to examine a Muslim woman or girl, it is appropriate to request that she do which of the following?
- A. Remove her clothes, including her hijab, and put on a gown and drape
- B. Keep on all of her clothes, including her hijab
- C. Remove only those clothes that relate to the presenting complaint
- D. Remove her clothes, keeping on the hijab if she prefers, and put on a gown and drape
Correct Answer: D
Rationale: Respecting the hijab accommodates modesty while allowing necessary examination.
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).
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.
You are caring for a 6-year-old boy who allegedly has been abused by his mother. During his mothers visits, which of the following is most associated with her being an abuser?
- A. A strong and loving relationship with her parents
- B. Single parent home
- C. A history of being abused as a child
- D. Unemployed
Correct Answer: C
Rationale: Continuing of the abuse cycle into adulthood remains a frequent pattern.
A client who is Type II on the Cultural Assessment Grid...
- A. Has cultural features in their environment contributing to their problems
- B. The client holds cultural features serving as resources for dealing with problems
- C. The client holds cultural features contributing to their problems
- D. N/A
Correct Answer: B
Rationale: Type II indicates cultural features as strengths or resources, not just problems, per the grid's framework.