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.
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The psychosexual stage associated with exploration is
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: A
Rationale: The oral stage (birth-1 year) involves exploration through the mouth (Freud).
Semantic memory is the type of-----:
- A. Episodic memory
- B. Short term memory
- C. Explicit memory
- D. Cognitive memory
Correct Answer: C
Rationale: Semantic memory, storing general knowledge, is a form of explicit (conscious) memory, per Tulving.
The psychiatric nurse best demonstrates an understanding of the general health challenges facing a mentally ill client who reports auditory hallucinations when asking:
- A. When did you first start hearing voices?'
- B. What did you have to eat last night for supper?'
- C. May I have your permission to take your blood pressure?'
- D. Do you understand why you need to take your medication?'
Correct Answer: C
Rationale: The correct answer is C because asking for permission to take the client's blood pressure demonstrates respect for their autonomy and acknowledges their physical health needs. It shows an understanding that mental illness can impact physical health and encourages holistic care. Choice A focuses on the onset of hallucinations, but does not address immediate health concerns. Choice B is unrelated to the client's health challenges. Choice D addresses medication compliance but does not directly address the client's current health status. Overall, choice C is the best option as it considers both the client's mental and physical well-being.
An older woman diagnosed with Alzheimers disease lives with family and attends day care. After observing poor hygiene, the nurse talked with the caregiver. This caregiver became defensive and said, It takes all my energy to care for my mother. Shes awake all night. I never get any sleep. Which nursing intervention has priority?
- A. Teach the caregiver about the effects of sundowners syndrome.
- B. Secure additional resources for the mothers evening and night care.
- C. Support the caregiver to grieve the loss of the mothers cognitive abilities.
- D. Teach the family how to give physical care more effectively and efficiently.
Correct Answer: B
Rationale: The patients caregivers were coping with care until the patient began to stay awake at night. The family needs assistance with evening and night care to resume their pre-crisis state of functioning. Secondary prevention calls for the nurse to mobilize community resources to relieve overwhelming stress. The other interventions may then be accomplished.
Psychologicalization of illness' is best defined by which of following statements?
- A. Redefinition of illness as an intangible process
- B. Examination of the effects of physical illness on a patient's mental capacity
- C. The stress response to acute illness
- D. Overemphasis on psychological factors without just evidence
Correct Answer: D
Rationale: Psychologicalization overattributes symptoms to mental causes without evidence.