Nokea
The psychological test that measures motivation is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: D
Rationale: TAT reveals underlying motives through story responses.
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You are caring for a client who has been taking illicit amphetamines and states that they continue to use this illicit drug because they 'suffer and feel lousy' when they try to stop taking it. Which nursing diagnosis is the most appropriate for this client?
- A. Psychological dependence secondary to amphetamine use
- B. Substance abuse secondary to amphetamine use
- C. Addiction secondary to amphetamine use
- D. Physical dependence secondary to amphetamine use
Correct Answer: D
Rationale: Physical dependence (D) is indicated by withdrawal symptoms.
The greatest negative personal result of stigma directed toward those diagnosed with a mental illness is:
- A. Low self-esteem.
- B. Impaired social skills.
- C. Poor employment prospects.
- D. Increased risk for substance abuse.
Correct Answer: A
Rationale: The correct answer is A: Low self-esteem. Stigma towards mental illness can lead to individuals internalizing negative beliefs about themselves, resulting in low self-esteem. This can impact their overall well-being and hinder their ability to seek help and engage in social activities. Impaired social skills (B) can be a consequence of stigma but is not the greatest negative personal result. Poor employment prospects (C) and increased risk for substance abuse (D) can also be outcomes of stigma, but they are not directly related to the individual's self-perception and personal well-being as low self-esteem.
A grieving patient tells a nurse, Its been eight months since my spouse died. I thought I would feel better by now, but lately I feel worse. I have no energy. I am lonely, but I dont want to be around people. What should I do? What is the nurses best counsel?
- A. Seek psychotherapy.
- B. Become active in a church.
- C. Go to the spouses grave every day.
- D. Understand this is a normal response.
Correct Answer: D
Rationale: The patient needs understanding and support that the feelings are normal. Although feelings of depression generally decline over the period of a year after the death of a loved one, the decline is not linear. Loneliness and aimlessness are most pronounced 6 to 9 months after the death. The patient should be educated about normal phenomena experienced during bereavement. The other options are not clearly indicated.
A patient was admitted 48 hours ago for injuries sustained while intoxicated. The patient is shaky, irritable, anxious, and diaphoretic. The pulse rate is 130 beats per minute. The patient shouts, 'Bugs are crawling on my bed. I’ve got to get out of here.' What is the most accurate assessment of the situation? The patient:
- A. is attempting to obtain attention by manipulating staff.
- B. may have sustained a head injury before admission.
- C. has symptoms of alcohol withdrawal delirium.
- D. is having a recurrence of an acute psychosis.
Correct Answer: C
Rationale: The correct answer is C: The patient has symptoms of alcohol withdrawal delirium. The presentation of shakiness, irritability, anxiety, diaphoresis, elevated heart rate, and hallucinations ('bugs are crawling on my bed') are classic signs of alcohol withdrawal delirium. Delirium tremens, a severe form of alcohol withdrawal, typically occurs 48-72 hours after the last drink and can be life-threatening. This patient's symptoms are consistent with the timeline and manifestations of alcohol withdrawal, requiring immediate medical intervention.
Incorrect answers:
A: Manipulating staff for attention is unlikely given the severity of the symptoms and the potential life-threatening nature of alcohol withdrawal delirium.
B: Head injury would not typically present with these specific symptoms and timeline.
D: Acute psychosis would not typically manifest with these specific symptoms in the context of alcohol intoxication and withdrawal.
If the assumed hypothesis is tested for rejection considering it to be true is called:
- A. Null Hypothesis
- B. Statistical Hypothesis
- C. Simple Hypothesis
- D. Composite Hypothesis
Correct Answer: A
Rationale: The null hypothesis assumes no effect and is tested for rejection in statistics.