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Shortly after a mans wife dies, the man approaches the nurse who cared for his wife during her final hours of life and says angrily, If you had given your undivided attention, she would still be alive. Which analysis applies?
- A. The comment summarizes the nurses inadequacies.
- B. Anger is a phenomenon experienced during grieving.
- C. The patient had ambivalent feelings about his spouse.
- D. In some cultures, grief is expressed solely through anger.
Correct Answer: B
Rationale: Anger may protect the bereaved from facing the devastating reality of the loss. Anger expressed during mourning is not directed toward the nurse, personally, although accusations and blame may make him or her feel as though it is.
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In --- preschool-age children 3-5 years old also make steady progress
- A. Cognitive development
- B. Emotional development
- C. Physical development
- D. Social development
Correct Answer: D
Rationale: Preschoolers (3-5 years) advance socially, per Erikson's initiative vs. guilt.
You are caring for an acute care adult client in the medical unit who has no history of a psychiatric mental health disorder. This 76 year old client has suddenly and abruptly started to exhibit episodic and intermittent periods of time vacillating between periods of impaired cognition and periods of mental clarity. The client reports to you that they are seeing clowns in their room. This client is dehydrated and has just begun taking an anticholinergic medication. Which of the following is the most appropriate nursing diagnosis for this client?
- A. Psychotic symptoms related to sensory overload
- B. Psychotic symptoms related to a previously undiagnosed psychosis
- C. Visual disturbances related to dementia
- D. Visual disturbances related to delirium
Correct Answer: D
Rationale: Delirium (D) fits sudden onset with dehydration and medication factors.
Family focussed social work originated in the 1880s with:
- A. The Settlement House movement
- B. Charity Organization Societies
- C. Baltimore Charity Organization
- D. Toynbee Hall
Correct Answer: B
Rationale: Charity Organization Societies pioneered structured family social work in the 1880s.
A physician should plan a process for obtaining medication refills if his/her patient is expected to be on vacation for at least how many days?
- A. 15 days
- B. 30 days
- C. 60 days
- D. 120 days
Correct Answer: B
Rationale: 30 days aligns with typical prescription cycles, requiring refill planning.
The theorist who believes humans have free will is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: B
Rationale: Rogers' humanistic theory emphasizes free will and agency.