Nokea
The nurse best engages in self-analysis that will benefit a specific nurse-client relationship when:
- A. Refraining from expressing any negative feelings about a client's behaviors.
- B. Asking, 'What barriers exist that make it difficult for me to provide effective care for this client?'
- C. Reporting to the nurse manager that, 'I've tried but I just can't work therapeutically with this client.'
- D. Avoiding conflict with the client by seldom setting boundaries or disagreeing with his or her beliefs.
Correct Answer: B
Rationale: The correct answer is B because it demonstrates reflective practice by focusing on self-awareness and identifying potential barriers to effective care. This approach allows the nurse to address personal biases, limitations, and areas for growth, leading to improved nurse-client relationships.
Choice A is incorrect as it suggests suppressing negative feelings, which may hinder self-awareness and authenticity in the relationship. Choice C is incorrect as it avoids self-analysis and seeks external solutions, which may not address the root of the issue. Choice D is incorrect as it prioritizes avoiding conflict over establishing healthy boundaries, which is essential for therapeutic relationships.
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When asked if complementary and alternative medicine (CAM) therapies have value as nursing interventions for mentally ill individuals the nurse replies:
- A. If the client is interested in CAM therapies, as a nurse I need to support that interest.'
- B. CAM therapies are controversial; as a nurse I think their use should be discussed with the physician first.'
- C. Some of these therapies have been proven to have a positive impact on a variety of mental health conditions; to provide effective care for my clients I need to be aware and open to their appropriate use.'
- D. These nontraditional therapies seem to work for some people; as a nurse, I need to educate my clients as to their limitations.'
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct:
1. Choice C acknowledges that some CAM therapies have been proven to have a positive impact on mental health conditions.
2. As a nurse, being aware and open to the appropriate use of these therapies can enhance the quality of care provided to mentally ill individuals.
3. By embracing evidence-based practices, the nurse can integrate effective CAM therapies into the treatment plan.
4. It demonstrates a patient-centered approach by considering the potential benefits of CAM therapies for individual clients.
5. This response aligns with the principles of holistic nursing care and evidence-based practice in mental health.
Summary:
Choice A focuses solely on the client's interest without considering evidence-based practice. Choice B emphasizes the controversial nature of CAM without recognizing its potential benefits. Choice D implies a lack of confidence in CAM therapies without acknowledging their proven efficacy. Choice C stands out for its evidence-based approach and patient-centered care in considering the positive impact of CAM therapies on mental health conditions.
The psychological test measure personality dynamics is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: D
Rationale: The TAT explores personality dynamics through narrative responses.
The nurse is managing the care of an older adult who has recently immigrated to the United States from an Asian country. The client is depressed and is neither sleeping nor eating well. In order to best facilitate the client's care in a culturally competent manner, the nurse:
- A. Encourages the client's adult children to visit as often as possible especially around meals and bedtime.
- B. Assesses the client's ability to understand the importance of both eating and sleeping in a healthy manner.
- C. Discusses interventions that may support the client in sleeping and eating with the adult members of the family.
- D. Requests a consult with the dietitian to discuss how to supplement the client's diet while using food to effectively promote sleep.
Correct Answer: C
Rationale: Rationale:
1. Choice C is correct as it involves discussing interventions with the family, respecting the client's cultural norms and involving them in the care plan.
2. Choice A assumes family involvement without assessing the client's preferences or cultural beliefs, potentially imposing Western values.
3. Choice B focuses solely on individual assessment without considering the importance of family dynamics in the client's culture.
4. Choice D addresses dietary concerns but overlooks the holistic approach of involving the family in the care plan.
At what age children smile at faces
- A. Newborns
- B. 1 month
- C. 2 months
- D. 3 months
Correct Answer: C
Rationale: Social smiling at faces begins around 2 months, per developmental milestones.
The theory focuses on the mental processes is
- A. Behaviorism
- B. Cognitivism
- C. Humanism
- D. Social learning
Correct Answer: B
Rationale: Cognitivism examines internal mental processes like memory and problem-solving.