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The nurse would recommend individual therapy for the patient who expresses a desire to
- A. Bring about personal changes.
- B. Gain a sense of belonging.
- C. Develop leadership skills.
- D. Learn more about treatment.
Correct Answer: A
Rationale: Individual psychotherapy is ideal for clients seeking personal change, self-understanding, or relief from emotional distress, unlike group-based goals like belonging or leadership.
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Group members are actively discussing a common topic. Members are sharing that they identify with what others are saying. The nurse leader recognizes that the group is in which stage of group development?
- A. Planning
- B. Initial
- C. Working
- D. Termination
Correct Answer: C
Rationale: The working stage of group development involves active engagement and sharing among members, focused on the group's purpose, as described.
Which of the following considerations should have the most influence in the nurse's choice of the treatment for the client?
- A. The client's feelings and perceptions about his or her situation
- B. The nurse's beliefs about the theories of psychosocial development
- C. The nurse's familiarity with the type of treatment
- D. Any approach to treatment should work with any client.
Correct Answer: A
Rationale: The client's feelings and perceptions are critical in tailoring effective therapeutic interventions, ensuring they align with the client's needs and expectations.
A patient reports a pattern of being suspicious and mistrusting of others, causing difficulty in sustaining lasting relationships. Which stage according to Erikson's psychosocial development was not successfully completed?
- A. Trust
- B. Autonomy
- C. Initiative
- D. Industry
Correct Answer: A
Rationale: Failure to develop trust during Erikson's trust vs. mistrust stage can lead to suspicion and difficulty in relationships throughout life. The other stages (autonomy, initiative, industry) focus on different developmental tasks not directly related to trust issues.
A patient who has been working on controlling impulsive behavior shows a strengthening ego through which of the following behaviors?
- A. Going to therapy only when there is nothing more desirable to do
- B. Weighing the advantages and disadvantages before making a decision
- C. Telling others in the group the right way to act
- D. Reporting having fun at a recent social event
Correct Answer: B
Rationale: The ego mediates between the id's impulsive desires and the superego's moral constraints. Weighing advantages and disadvantages before deciding reflects mature, adaptive ego functioning, unlike the other options which indicate impulsivity, control, or unrelated social behavior.
A patient is being admitted to an inpatient unit for treatment of anorexia nervosa. Of the following assessment data, which should the nurse place as highest priority in the plan of care?
- A. Weight 24% below ideal body weight
- B. Distorted body image
- C. Feelings of inadequacy
- D. Frequent vomiting
Correct Answer: D
Rationale: According to Maslow's hierarchy, physiological needs like fluid and electrolyte balance, threatened by frequent vomiting, take priority over psychological issues like body image or self-esteem.