Nokea
The child's ability to understand logic develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Logical thinking about concrete events emerges in the concrete operational stage (Piaget).
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The psychological test that measures cognitive ability is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: C
Rationale: WAIS assesses cognitive abilities, including IQ.
All the following are SLFT intervention strategies except...
- A. Cognitive restructuring
- B. Structuring a case plan
- C. Coping skills training
- D. Problem-solving skills training
Correct Answer: B
Rationale: Case planning is case management, not a direct SLFT intervention.
A nurse working with a person whose spouse recently died uses cheer and humor to lift the persons spirits. At one point, the widowed person smiles briefly. What analysis of this scenario is correct?
- A. The nurses technique was effective.
- B. Use of humor should be added to the plan of care.
- C. This approach may prove useful in other, similar situations.
- D. The nurse needs supervision; the communication technique was not appropriate.
Correct Answer: D
Rationale: Clinical supervision will review the nurses actions and thoughts and help the nurse arrive at a more therapeutic approach. Attempts at cheering up a patient who is depressed serve only to emphasize the disparity between the patients mood and that of others. Active listening should be the technique used by the nurse. The incorrect options suggest the approach is therapeutic when it is not.
Prior to a diabetic patient's extended overseas vacation, which of the following questions about traveling must be asked?
- A. Will you be staying in the city or in the countryside?
- B. What is the climate like there during this time of year?
- C. When was the last time you visited your home country?
- D. Do you have a primary care doctor in your home country for an emergency?
Correct Answer: D
Rationale: Ensuring emergency care access is critical for managing diabetes abroad.
A woman whose husband is terminally ill says, I dont want to cry in front of him. I dont want him to know how close he is to death or how sad I am. Which response by the nurse would be most therapeutic?
- A. You're right to protect him at a time when he is so vulnerable.
- B. He might be more comforted than disturbed by your tears.
- C. It's important for you to know that time is running out.
- D. You definitely need to be honest about your feelings.
Correct Answer: B
Rationale: Many people try to protect the dying person from experiencing emotions; however, emotional honesty is important to both the patient and the family. The patient may be comforted to know that the family is facing the inevitable. Giving advice and making judgmental statements are not helpful.