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The client says to the nurse, 'I know I can learn to cope with my family situation. By getting help here at the clinic, I'll be able to deal with them more effectively, and I won't be so stressed out all the time.' This client is demonstrating a high level of
- A. hardiness.
- B. resilience.
- C. sense of belonging.
- D. self-efficacy.
Correct Answer: D
Rationale: Self-efficacy reflects a belief in one's ability to affect life events, as demonstrated by the client's proactive attitude.
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Direct eye contact is preferred by which of the following cultures?
- A. Native Americans
- B. Cambodians
- C. Russians
- D. Chinese
Correct Answer: C
Rationale: Russians prefer direct eye contact, unlike the other listed cultures.
A client's prognosis is said to be good due to a high degree of self-efficacy. Which of the following is evidence of a high degree of self-efficacy?
- A. The client is self-motivated and asks for help when needed.
- B. The client is able to resist illness when under stress.
- C. The client responds well in stressful situations.
- D. The client uses good problem-solving abilities.
Correct Answer: A
Rationale: People with high self-efficacy are self-motivated, cope effectively with stress, and request support when needed.
Several family members arrive to visit an African American client. The nurse can best meet this client's need for socialization by providing the client and family which of the following?
- A. Individual visits to provide the client with a calm environment
- B. Group gatherings and open conversation
- C. Inclusion of ritualistic health practices with the family present
- D. A spiritual healer to remove the illness and protect the family
Correct Answer: B
Rationale: African American families often provide support through animated group interactions and public affection.
Spirituality is especially important in helping people cope primarily for which of the following reasons?
- A. Spirituality involves the essence of a person's being and beliefs.
- B. Spirituality gives people set personal goals.
- C. Spirituality provides a reliable support network.
- D. Spirituality guides beliefs about the meaning of life events.
Correct Answer: D
Rationale: Spirituality primarily guides beliefs about the meaning of life events, serving as a primary coping mechanism.
A nurse is working with a Middle-Eastern client being treated for major depression. The client is expressing feelings of guilt for not being able to 'snap out of it.' A therapeutic response by the nurse would be.
- A. You have to keep trying to feel better
- B. What do you think could have caused your depression?
- C. Clinical depression is not something you have brought on yourself
- D. It will take several weeks for your medicine to start to help you feel better
Correct Answer: C
Rationale: Educating the client that depression is not self-induced addresses cultural beliefs about control over mental illness.