Nokea
The mourning process is more difficult when the bereaved:
- A. was relatively independent of the deceased.
- B. has experienced a number of previous losses.
- C. accepts that death is expected for older adults.
- D. had few unresolved conflicts with the deceased.
Correct Answer: B
Rationale: Factors that have negative effects on the mourning process include a high dependency on the deceased, ambivalence toward the deceased, a poor or absent support system, a high number of past losses or other recent losses, poor physical or mental health, and young age of the deceased. Data do not support the incorrect options.
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Which serious side effect of Elavil requires immediate intervention? A. Orthostatic hypotension B. Urinary retention C. ECG changes D. Sedation
- A. Orthostatic hypotension
- B. Urinary retention
- C. ECG changes
- D. Sedation
Correct Answer: B
Rationale: The correct answer is B: Urinary retention. Elavil, a tricyclic antidepressant, can cause anticholinergic effects leading to urinary retention, which can be a serious side effect requiring immediate intervention to prevent complications like urinary retention, necessitating prompt medical attention to prevent potential complications such as bladder distention or urinary retention-induced kidney damage.
A: Orthostatic hypotension - While Elavil can cause orthostatic hypotension, it is not typically considered a serious side effect that requires immediate intervention.
C: ECG changes - Elavil can cause ECG changes, but they may not always necessitate immediate intervention.
D: Sedation - Sedation is a common side effect of Elavil but is not typically considered a serious side effect requiring immediate intervention.
he theorist who believes that human behavior is influenced by past is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: A
Rationale: Sigmund Freud's psychoanalysis links behavior to past experiences, especially childhood.
Which statement best demonstrates the current status of the benefit of family involvement to the individual who is mentally ill?
- A. Family involvement is limited by the current confidentiality laws enforced by HIPAA.
- B. Family involvement is best stressed once the individual's mental health status has been stabilized.
- C. Despite education, families are generally ill prepared to significantly impact the mental health of their family member.
- D. While the benefits are well documented, the service is not consistently offered in the majority of mental health systems.
Correct Answer: D
Rationale: The correct answer is D because it highlights the current status of the benefit of family involvement for individuals who are mentally ill. It acknowledges that while the benefits of family involvement are well documented, the actual service is not consistently offered in most mental health systems. This indicates a gap between research evidence and practical implementation, hindering the full realization of the benefits.
Explanation for why other choices are incorrect:
A: Incorrect because although confidentiality laws like HIPAA may pose challenges, they do not necessarily limit family involvement entirely.
B: Incorrect because family involvement is crucial throughout the mental health journey, not just after stabilization.
C: Incorrect because with proper support and resources, families can have a significant impact on the mental health of their loved ones.
The psychological test measure creativity is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: D
Rationale: The TAT can assess creativity through the originality of stories generated.
You routinely use the PQRST method to assess pain. The PQRST method consists of:
- A. Pain level, the quality of the pain, the region or area of the pain, the severity of the pain, and the pain triggers
- B. Precipitating factors, the quality of the pain, relief factors, the severity of the pain, and the pain triggers
- C. Pain level, the quantitative numerical pain score, the region or area of the pain, the severity of the pain, and the pain triggers
- D. Precipitating factors, the quality of the pain, the region or area of the pain, the severity of the pain, and the pain triggers
Correct Answer: D
Rationale: PQRST (D) stands for Precipitating, Quality, Region, Severity, Timing.