Nokea
The psychosexual stage associated with rivalry is
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: C
Rationale: The phallic stage (3-6 years, Freud) involves rivalry (Oedipus complex).
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Joe, who has come to the mental health clinic with symptoms of depression, says to the nurse, 'My father is dying. I have always hated my father. He physically abused me when I was a child. We haven't spoken for many years. He wants to see me now, but I don't know if I want to see him.' With which spiritual need is Joe struggling?
- A. Forgiveness
- B. Faith
- C. Hope
- D. Meaning and purpose in life
Correct Answer: A
Rationale: Joe's struggle with his father, marked by past abuse and current reluctance to reconnect, indicates a need to address forgiveness as a spiritual concern, aligning with option a.
An adult recently diagnosed with AIDS is hospitalized with pneumonia. The patient and family are very anxious. Select the best outcome to add to the plan of care for this family.
- A. Describe the stages of the anticipatory grieving process.
- B. Identify and describe effective methods for coping with anxiety.
- C. Recognize ways dysfunctional communication is expressed in the family.
- D. Examine previously unexpressed feelings related to the patients sexuality.
Correct Answer: B
Rationale: Desired outcomes might be set for the family as a whole or for individuals within the family. The outcome most closely associated with the anxiety that each member is experiencing is to focus on identifying and describing ways of coping with the anxiety. The other options are not appropriate at this time.
The child's ability to understand abstract concepts develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: D
Rationale: Abstract concept comprehension emerges in the formal operational stage (Piaget).
When questioning a male patient about his sexual orientation, which of the following statements would be most appropriate?
- A. Are you gay?
- B. Would you consider yourself a homosexual?
- C. Are you sexually active with other men?
- D. Do you sleep with men?
Correct Answer: C
Rationale: This question is specific, neutral, and relevant to health risks without assumptions.
In the WHO publication Mental Health Gap Action Programme Intervention Guide (mhGAP-IG) there were 11 topics on mental, neurological and substance abuse problems which were selected? Which of the following is one of the basis that selection was made?
- A. High economic cost.
- B. High prevalence.
- C. High profile.
- D. Difficult to manage in primary care.
Correct Answer: B
Rationale: High prevalence is a key criterion for selecting conditions in mhGAP-IG to address widespread needs.