Nokea
The primary purpose for generalist nurses to develop skills with psychosocial interventions is
- A. Psychosocial interventions are included on the nursing licensure examinations.
- B. Psychosocial interventions are needed in all nursing practice settings.
- C. Nurses will be consulted to assist in the care of psychiatric patients in acute care settings.
- D. There are a growing number of nursing practice opportunities in mental health settings.
Correct Answer: B
Rationale: Psychosocial interventions are essential across all nursing settings to address clients' emotional and behavioral needs, not just in mental health or for licensure purposes.
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Which of the following are examples of adventitious crises?
- A. Death of a loved one
- B. Natural disasters
- C. Violent crimes
- D. War
- E. Leaving home for the first time
Correct Answer: B,C,D
Rationale: Adventitious crises involve unpredictable events like natural disasters, violent crimes, or war. Death of a loved one is a situational crisis, and leaving home is a maturational crisis.
The nurse understands that crises are self-limiting. This implies that upon evaluation of crisis intervention, the nurse should assess for which outcome?
- A. The patient will identify possible causes for the crisis.
- B. The patient will discover a new sense of self-sufficiency in coping.
- C. The patient will resume the precrisis level of functioning.
- D. The patient will express anger regarding the crisis event.
Correct Answer: C
Rationale: Crises usually last 4 to 6 weeks. At resolution, the person either returns to their precrisis level of functioning, functions at a higher level, or stabilizes at a lower level. Returning to precrisis functioning is a positive outcome. Identifying causes may lead to guilt, and persistent anger at 4 to 6 weeks suggests an unfavorable outcome.
A client begins to take stock of his life and look into the future. The nurse assesses that this client is in which of Erikson's developmental stages?
- A. Identity versus role confusion
- B. Industry versus inferiority
- C. Integrity versus despair
- D. Generativity versus stagnation
Correct Answer: C
Rationale: Erikson's integrity vs. despair stage, occurring in later adulthood, involves reflecting on one's life and future, as described in the client's behavior.
A basic assumption of Freud's psychoanalytic theory is that
- A. All human behavior can be caused and can be explained.
- B. Human behavior is entirely unconscious.
- C. Free association is the key to understanding.
- D. Sexuality does not relate to behavior.
Correct Answer: A
Rationale: Freud's psychoanalytic theory posits that all behavior has a cause, whether conscious or unconscious, driven by internal forces like the id, ego, and superego.
Which one of the following statements is most accurate regarding the cohesiveness of a group in group therapy?
- A. It is commonly present in the first meeting of the group.
- B. It is necessary for the group to have maximum cohesiveness, the more the better.
- C. Group cohesiveness is the degree to which members think alike and many things are left unspoken.
- D. Cohesiveness is a desirable group characteristic that is associated with positive group outcomes.
Correct Answer: D
Rationale: Cohesiveness, developed over time, fosters cooperation and positive outcomes in group therapy, but excessive uniformity may hinder critical thinking.