Nokea
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.
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Frobel's educational philosophy was based on
- A. Culture
- B. Religion
- C. Values
- D. Beliefs
Correct Answer: C
Rationale: Froebel's philosophy centered on values like unity and natural growth.
The theorist associated with humanistic psychology is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Ivan Pavlov
Correct Answer: B
Rationale: Carl Rogers is a key figure in humanistic psychology, focusing on self-growth.
Your client has a doctor's order for the antihistamine medication diphenhydramine for sleep. What should you do?
- A. Question the order because Benadryl is an antihistamine and not a sleeping medication.
- B. Refuse to give the Benadryl because this medication is a stimulant.
- C. Question the order because Benadryl is contraindicated when the client has a sleep inducement disorder.
- D. Give the Benadryl because sleep inducement is an accepted off label use of this medication.
Correct Answer: D
Rationale: Diphenhydramine (D) is commonly used off-label for sleep.
Select the most appropriate outcome for a patient completing the fourth alcohol detoxification program in 1 year. Before discharge, the patient will
- A. use rationalization in healthy ways.
- B. state, 'I see the need for ongoing treatment.'
- C. identify constructive outlets for expression of anger.
- D. develop a trusting relationship with one staff member.
Correct Answer: B
Rationale: The correct answer is B because stating 'I see the need for ongoing treatment' demonstrates insight and willingness to engage in further treatment, indicating a readiness for change. This is crucial for someone who has completed multiple detox programs in a short period. Choice A (using rationalization in healthy ways) may not address the underlying issues leading to repeated detox programs. Choice C (identifying constructive outlets for expression of anger) is important but not the most urgent concern after detox. Choice D (developing a trusting relationship with one staff member) is beneficial but does not address the need for ongoing treatment.
Which type of intervention is not usually useful for Level 4 families?
- A. Object relations family interventions
- B. Family sculpting
- C. Case management
- D. Genograms
Correct Answer: C
Rationale: Level 4 families focus on abstract, philosophical concerns, so case management, which addresses concrete needs, is less relevant compared to insight-oriented interventions.