Nokea
The psychosexual stage associated with independence is
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: B
Rationale: The anal stage (1-3 years) fosters independence through control over bodily functions (Freud).
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Your new 90-year-old patient is admitted with a broken wrist and multiple bruises. The caregiver reports the patient falls when she wanders. Which of the following would lead you to suspect elder abuse?
- A. Inconsistent explanations about the details of the falls.
- B. The patient tells you she doesnt like the caregiver.
- C. The patient begins crying when her daughter arrives.
- D. The patient has a UTI.
Correct Answer: A
Rationale: Inconsistent explanations of injuries are a common indicator of abuse. All of the other responses would not be indicators on their own, but with other factors may lead you to suspect abuse.
The child's ability to focus on more than one aspect develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Decentration, focusing on multiple aspects, develops in the concrete operational stage (Piaget).
Epilepsy has no identifiable cause in about the people with the condition:
- A. Half
- B. Full
- C. Quarter
- D. Partial
Correct Answer: A
Rationale: About half of epilepsy cases have no known cause, termed idiopathic.
Initial exploration of Level 1 issues should be done with the parent or guardian prior to obtaining the perspectives of other family members.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Starting with the parent or guardian establishes authority and context before involving others.
A family of a terminally ill patient asks the nurse, What can we say when our family member mentions death is coming soon? Which response could the nurse suggest?
- A. We think you will be around for a long time.
- B. We don't want you to give up trying to get well.
- C. We don't think were ready to talk about this yet.
- D. We feel so sad when we think of life without you.
Correct Answer: D
Rationale: This response is emotionally honest. It will allow the family opportunities to express emotions and further resolve issues in the relationship and explore end-of-life developmental opportunities. The incorrect options are evasive.