Nokea
The psychological test measure aptitude is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. DAT
Correct Answer: D
Rationale: The DAT (Differential Aptitude Test) assesses specific abilities or aptitudes.
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A parent is admitted to a chemical dependency treatment unit. The patients spouse and adolescent children participate in a family session. What is the most important aspect of this familys assessment?
- A. Spouses codependent behaviors
- B. Interactions among family members
- C. Patients reaction to the familys anger
- D. Childrens responses to the family sessions
Correct Answer: B
Rationale: Interactions among all family members are the raw material for family problem solving. By observing interactions, the nurse can help the family make its own assessments of strengths and deficits. The other options are narrower in scope when compared with the correct option.
When a patient does not return for follow-up after several years, what is the most appropriate response if and when he/she does return for medical care?
- A. Confront the patient for not following up
- B. Express disappointment to the patient for not following up
- C. Thank the patient for returning and remain supportive
- D. Refuse to see the patient
Correct Answer: C
Rationale: Supportive re-engagement encourages ongoing care without judgment.
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.
You are a home health nurse caring for an elderly client in their home. They have children and grandchildren but they live far from the couple and they typically visit with your clients once to two times a year. The elderly man is beginning to show some of the signs of Alzheimer's disease dementia. The wife is also 88 years of age and has had a stroke which has left her with left sided weakness, but she is willing to help her husband and to maintain his safety. What kind of support should you give the wife in terms of her role caring for her husband?
- A. You should advise the couple to move closer to their children so that they can care for their father.
- B. You should teach the wife about this progressive disease and the need to promote as much independence as possible.
- C. You should teach the wife about this progressive disease and the need to do all that she can for the husband to avoid his depression and frustration.
- D. You should advise the couple to decrease their social activities in order to preserve the husband's dignity and self-esteem.
Correct Answer: B
Rationale: Education on progression and independence (B) supports the wife's caregiving role.
A client who has been prescribed chronotherapy for disrupted sleep patterns resulting from his chronic depression tells the nurse that he can't afford to stay in the hospital for the treatments since he has to get back to work. The nurse responds that:
- A. The therapy requires only a few treatments that can be accomplished in just a few days.
- B. Most employers will view the treatments as a medical necessity and provide sick leave.
- C. He can administer the treatments at home once he is trained to do so.
- D. His treatment team will discuss outpatient alternatives to this form of therapy.
Correct Answer: C
Rationale: Rationale for choice C (correct answer):
1. Chronotherapy involves timed exposure to light and darkness to regulate sleep patterns.
2. The nurse suggests the client can administer the treatments at home once trained, indicating it's feasible.
3. This empowers the client to continue treatment while balancing work obligations.
4. It ensures continuity of care and adherence to the therapy plan.
Summary of other choices:
A: Incorrect - Chronotherapy requires multiple treatments over several weeks, not just a few days.
B: Incorrect - While some employers may provide sick leave, it's not guaranteed and may not cover the entire treatment duration.
D: Incorrect - While outpatient alternatives may be discussed, administering at home is more practical for this client's situation.