Nokea
The psychosexual stage associated with sexual maturity is
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: D
Rationale: The genital stage (puberty onward, Freud) focuses on mature sexuality.
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The most appropriate crisis intervention with Amanda (from question 3) would be to:
- A. Encourage her to recognize how lucky she is to be alive.
- B. Discuss stages of grief and feelings associated with each.
- C. Identify community resources that can help Amanda.
- D. Suggest that she find a place to live that provides a storm shelter.
Correct Answer: C
Rationale: The correct answer is C because identifying community resources can provide immediate support and assistance to Amanda during the crisis. This approach focuses on practical help and solutions tailored to her specific needs. Encouraging her to recognize her luck (A) may invalidate her feelings, discussing grief stages (B) may not address her immediate needs, and suggesting finding a place with a storm shelter (D) does not directly address her current crisis.
The nurse is concerned that a depressed client may be displaying a nonverbal suicidal threat when he presents another client with his favorite shirt as a 'gift.' The nurse's initial intervention is to:
- A. Place the client on suicide precautions including 15-minute checks.
- B. Ask the client if he is experiencing suicidal ideations with a plan to hurt himself.
- C. Support the client by telling him that he will need the shirt when he's discharged.
- D. Document that the client has shown behaviors that are likely subtle suicide threats.
Correct Answer: B
Rationale: The correct answer is B because asking the client directly about suicidal ideations with a plan to hurt himself is the most immediate and appropriate intervention to assess the client's safety. This approach allows the nurse to directly address the potential risk of suicide and initiate appropriate interventions if necessary. Placing the client on suicide precautions (choice A) without assessing the client's thoughts may be premature and intrusive. Supporting the client about the shirt (choice C) does not address the underlying concern of suicidal behavior. Simply documenting the behavior (choice D) without taking immediate action to assess and address the risk is insufficient in ensuring the client's safety.
Mrs Wang is a retired teacher and used to take trips on cruise ships with her friends to gamble at the casino. She now goes to the local casino every other day by herself and is preoccupied with gambling. Her problem surfaced when she was caught on the closed circuit camera for trying to steal casino chips. Her husband was at a loss and reports that she keeps talking about gambling and boasts to her friends about the large amounts she places per bet. Her luck has turned for the worse, but she insists on going back to 'recoup' her losses. She has pawned most of her jewelry, stopped seeing her friends, and lies to her family about the amounts she has lost. Mrs Wang has features of a
- A. Social gambler.
- B. At risk gambler.
- C. Problem gambler.
- D. Pathological gambler.
Correct Answer: D
Rationale: Mrs. Wang's preoccupation, theft, financial loss, and deceit indicate pathological gambling, a severe disorder per DSM-5 criteria.
The most appropriate nursing intervention with Marie (from question 9) would be to:
- A. Refer her to her family physician for a complete physical examination.
- B. Suggest she seek outside employment now that her children have left home.
- C. Identify convenient support systems for times when she is feeling particularly despondent.
- D. Begin grief work and assist her to recognize areas of self-worth separate and apart from her children.
Correct Answer: D
Rationale: The correct answer is D because Marie is experiencing empty nest syndrome, a common emotional response when children leave home. Grief work helps her process and cope with the loss, while recognizing self-worth beyond motherhood promotes self-identity. Referring her to a physician (A) may not address her emotional needs. Seeking outside employment (B) may not address her emotional concerns. Identifying support systems (C) is helpful but doesn't directly address her need for grief work and self-worth recognition.
You have loosely applied a bed sheet around your client's waist to prevent a fall from the chair. What have you done?
- A. Ensured the client's safety which is a high patient care priority
- B. Violated Respondeat Superior
- C. Violated the client's right to dignity
- D. Committed a crime
Correct Answer: A
Rationale: Using a bed sheet for safety does not constitute a violation or crime.