Nokea
The psychological test measure self-concept is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: D
Rationale: The TAT can reveal self-concept through the personal narratives elicited.
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Case-finding is...
- A. Asking friends/family if they know of people in need so you can build your client base
- B. Looking for folders misplaced on your desktop at work
- C. Finding the particular points of a situation on which to build the client case
- D. N/A
Correct Answer: C
Rationale: Case-finding identifies key situational elements to inform intervention.
Which client has met the criteria for psychiatric homebound care?
- A. A 67-year-old retired teacher who has been depressed since the death of his longtime partner
- B. A 21-year-old diagnosed with paranoid schizophrenia who has delusions that the world is about to end
- C. A 45-year-old who, for the last 5 years, has experienced severe panic attacks whenever she attempts to leave her home
- D. A 16-year-old who has demonstrated obsessive-compulsive behaviors involving cleaning rituals since she was 10 years old
Correct Answer: C
Rationale: The correct answer is C because the client meets the criteria for psychiatric homebound care by experiencing severe panic attacks when trying to leave the home. This indicates significant impairment in functioning outside the home.
Explanation:
1. Criterion met: The client's severe panic attacks prevent her from leaving the home, indicating a need for care within the home environment.
2. Impairment in functioning: The client's panic attacks significantly impact her ability to engage in daily activities outside the home.
3. Duration of symptoms: The client has experienced these severe panic attacks for the last 5 years, indicating a chronic and persistent condition.
Summary of other choices:
A: Depression alone does not necessarily warrant psychiatric homebound care.
B: Delusions related to paranoid schizophrenia do not inherently restrict the client to homebound care.
D: Obsessive-compulsive behaviors, while impactful, do not specifically require homebound care unless they severely impair functioning outside the home.
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 psychosexual stage associated with autonomy is
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: B
Rationale: The anal stage (1-3 years) fosters autonomy through control mastery (Freud).
The nurse is engaging in patient- and family-centered care most effectively when:
- A. Including a client's homosexual partner in the discussion regarding discharge planning.
- B. Allowing a client admitted for acute psychiatric care to be visited by family members.
- C. Helping a cognitively impaired client call his parents who live out of state.
- D. Volunteering at a clinic that provides free services to clients of all ages.
Correct Answer: A
Rationale: The correct answer is A because including a client's homosexual partner in discharge planning demonstrates respect for the client's relationships and values, promoting inclusivity and support. This aligns with patient- and family-centered care principles. Choice B is incorrect as it focuses on visitation rights rather than involving the family in care decisions. Choice C involves the nurse facilitating communication but does not necessarily demonstrate partnership with the client's support system. Choice D, while commendable, does not directly relate to individualized care for a specific patient and their family.