Nokea
Multiple personality or dissociative identity disorder often begins
- A. as a result of combat exhaustion
- B. in adulthood as a response to unremitting phobias
- C. as a consequence of post-traumatic stress disorders
- D. in childhood as a result of unbearable experiences
Correct Answer: D
Rationale: Dissociative identity disorder typically originates in childhood from severe trauma, such as abuse, leading to identity fragmentation.
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The nurse is planning care for a battered woman who has mentioned, 'Someday I'll have to leave him.' Which outcome should the nurse include in the plan of care for this client?
- A. Client will leave husband for a safe environment within 3 weeks
- B. Client will state that she feels more relaxed after consultation with nurse
- C. Client will state that she feels strong enough to return to the situation
- D. Client will verbalize awareness of the dangerousness of her situation
Correct Answer: D
Rationale: The correct answer is D: Client will verbalize awareness of the dangerousness of her situation. This outcome is crucial as it indicates the client's understanding of the risks involved in her current situation. By verbalizing awareness, the client is acknowledging the potential harm and taking a significant step towards recognizing the need for change. This outcome lays the foundation for further interventions and support.
Choice A is incorrect because setting a specific timeline for leaving may not be feasible or safe for the client. Choice B is incorrect as feeling relaxed does not necessarily address the underlying issue of abuse. Choice C is incorrect as feeling strong does not necessarily equate to recognizing the dangers of the situation. The focus should be on increasing awareness and empowering the client to make informed decisions.
Many clients with eating disorders have difficulty translating their pain into words. Which approach may be used to promote getting in touch with feelings and greater self-disclosure?
- A. Personality inventory testing.
- B. Dance and movement therapy.
- C. Letter writing.
- D. Cooking and meal-planning classes.
Correct Answer: B
Rationale: The correct answer is B: Dance and movement therapy. This approach can help clients with eating disorders express emotions non-verbally, promoting self-awareness and self-disclosure. Movement therapy encourages embodied expression of feelings, facilitating a deeper connection to internal experiences. It allows clients to explore and release emotions through physical movement, aiding in the processing of emotional pain. Personality inventory testing (A) may not directly address emotional expression. Letter writing (C) can help, but may not be as effective as movement in promoting non-verbal expression. Cooking and meal-planning classes (D) focus on practical skills rather than emotional expression.
Which of the following is a technique used to address stuttering?
- A. Purposeful speech
- B. Practical speech
- C. Delayed speech
- D. Prolonged speech
Correct Answer: D
Rationale: Prolonged Speech: A technique teaching new speech patterns to address stuttering, altering phrasing, articulation, and respiratory patterns.
Which of the following should be considered in the assessment of oppositional behaviours in children?
- A. Peer relationships
- B. Child s developmental stage
- C. Behaviours exhibited at home
- D. All of the above
Correct Answer: D
Rationale: All factorsâ€â€peer relationships, developmental stage, home behavior, and family historyâ€â€are critical in assessing oppositional behaviors comprehensively.
How does peer interaction influence mental development?
- A. Increases stress
- B. Enhances problem-solving
- C. Limits creativity
- D. Reduces attention span
Correct Answer: B
Rationale: Peer interaction enhances problem-solving (B) by encouraging collaboration and critical thinking, a key aspect of mental development. It doesn't inherently increase stress (A), limit creativity (C), or reduce attention (D).