Lucky sometimes refused to obey Anna and indeed did not come back to her when she called to him on the day he was killed. But Anna continues to insist 'He was the very best dog. He always minded me.' This represents the defense mechanism
- A. sublimation.
- B. compensation.
- C. reaction formation.
- D. undoing.
Correct Answer: C
Rationale: Anna's insistence that Lucky was the 'very best dog' and always minded her, despite evidence to the contrary, suggests she is unconsciously replacing her negative feelings (anger or frustration) with exaggerated positive ones, which is characteristic of reaction formation, aligning with option c.
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Physicians encounter many patients who may be unaccustomed to the U.S. health care system. How can physicians effectively take care of patients from diverse backgrounds?
- A. Physicians should focus on their communication skills over understanding a patient's cultural context
- B. Physicians should emphasize good communication in combination with understanding a patient's cultural context
- C. Physicians should prioritize understanding a patient's cultural context and leave communication to a trained medical interpreter
- D. Physicians should treat all patients in the same manner, regardless of a patient's preconceived notions of the U.S. health care system
Correct Answer: B
Rationale: Combining communication and cultural context ensures effective, tailored care.
Bandura (2006) outlined that self-efficacy varies in:
- A. Organisation, expectation and outcome
- B. Organisation, expectation and execution
- C. Orientation, organisation and strength
- D. Level, generality and strength
Correct Answer: D
Rationale: Bandura (2006) described self-efficacy varying in level, generality, and strength.
Which of the following clients is at greatest risk for extravasation?
- A. The client with heart failure who is receiving Ringer's lactate
- B. The client with cancer who is receiving bendamustine
- C. The client who is receiving potassium supplementation intravenously
- D. The client who is receiving total parenteral nutrition
Correct Answer: B
Rationale: Bendamustine (B) is a vesicant, increasing extravasation risk.
After the death of his wife, a man tells the nurse, I can't live without her. She was my whole life. Which is the nurses most therapeutic reply?
- A. Each day will get a little better.
- B. Her death is a terrible loss for you.
- C. Remember, she's no longer suffering.
- D. Your friends will help you cope with this.
Correct Answer: B
Rationale: The correct response demonstrates the use of reflection, a therapeutic communication technique. A statement that validates the bereaved persons loss is more helpful than banalities and cliches; it signifies understanding. The other options are clichs.
The psychological test measure emotional adjustment is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: B
Rationale: The MMPI assesses emotional adjustment and psychological stability.