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.
You may also like to solve these questions
he Montessori approach believes that teachers should
- A. Control
- B. Observe
- C. Direct
- D. Instruct
Correct Answer: B
Rationale: Montessori teachers observe to guide learning, rather than control or direct it.
A hospitalized patient, injured in a fall while intoxicated, believes spiders are spinning entrapping webs in the room. The patient is anxious, agitated, and diaphoretic. Which nursing intervention has priority?
- A. Check the patient every 15 minutes.
- B. Rigorously encourage fluid intake.
- C. Provide one-on-one supervision.
- D. Keep the room dimly lit.
Correct Answer: C
Rationale: The correct answer is C: Provide one-on-one supervision. This intervention has priority because the patient is experiencing hallucinations, agitation, and anxiety, which can pose a risk to their safety. One-on-one supervision ensures constant monitoring and immediate intervention if the patient's condition deteriorates. Checking the patient every 15 minutes (A) may not provide timely intervention. Encouraging fluid intake (B) is important but not the priority in this situation. Keeping the room dimly lit (D) may not address the patient's hallucinations and agitation adequately.
Self-efficacy is influence by:
- A. Encouragement
- B. Discouragement
- C. Both a and b
- D. None
Correct Answer: C
Rationale: Self-efficacy is shaped by both encouragement and discouragement (verbal persuasion), per Bandura.
Which basic activity of daily living assistive device can be useful for the client who is affected with poor fine motor coordination?
- A. An aphasia aid
- B. A button hook
- C. Honey thickened liquids
- D. A word board
Correct Answer: B
Rationale: A button hook (B) aids fine motor tasks like dressing.
Which statement made by a teenager indicates an increased risk for poor stress management as a result of a psychosocial factor?
- A. I couldn't survive if my boyfriend left me.'
- B. My father tried to kill himself when I was 10 years old.'
- C. Our religion does not accept homosexuality as a lifestyle choice.'
- D. In my culture mental illness is thought of as a punishment not a sickness.'
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
A teenager saying "I couldn't survive if my boyfriend left me" indicates an increased risk for poor stress management due to dependency on external relationships for emotional well-being. This statement suggests a lack of self-reliance and coping skills, making the teenager vulnerable to high levels of stress and anxiety if the relationship ends. It reflects a reliance on others for happiness and emotional stability, which can lead to difficulties managing stress independently.
Summary of Incorrect Choices:
B: Experiencing a traumatic event like a parent's suicide attempt can certainly impact stress management, but this choice does not directly indicate poor stress management due to psychosocial factors.
C: Disapproval of homosexuality by religion may cause stress, but it is not directly related to the teenager's own stress management abilities.
D: Cultural beliefs about mental illness may influence attitudes, but this choice does not directly indicate the teenager's own stress management capabilities.