Nokea
The theorist associated with self-actualization is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: C
Rationale: Abraham Maslow's hierarchy culminates in self-actualization.
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he Montessori approach believes that children should be
- A. Dependent
- B. Independent
- C. Obedient
- D. Submissive
Correct Answer: B
Rationale: Montessori emphasizes fostering independence in children to support their development.
Why might a patient be reluctant to reveal his/her sexual orientation to a health care provider?
- A. The patient may not self-identify as gay
- B. Uncertainty about how this health care provider will react
- C. Fear of being stereotyped or stigmatized
- D. All of the above
Correct Answer: D
Rationale: All these factors can contribute to reluctance, reflecting personal and social concerns.
The ego's protective method of unconsciously reducing anxiety is
- A. Withdrawal
- B. Self guard
- C. Defense mechanism
- D. Resistance
Correct Answer: C
Rationale: Defense mechanisms (Freud) unconsciously reduce anxiety, unlike conscious strategies.
Your client is in the special care area of your hospital with multiple trauma and severe bodily burns. This 45 year old male client has an advance directive that states that the client wants all life saving measures including cardiopulmonary resuscitation and advance cardiac life support, including mechanical ventilation. As you are caring for the client, the client has a complete cardiac and respiratory arrest. This client has little of no chance for survival and they are facing imminent death according to your professional judgement, knowledge of pathophysiology and your critical thinking. You believe that all life saving measures for this client would be futile. What is the first thing that you, as the nurse, should do?
- A. Call the doctor and advise them that the client's physical status has significantly changed and that they have just had a cardiopulmonary arrest.
- B. Begin cardiopulmonary resuscitation other emergency life saving measures.
- C. Notify the family of the client's condition and ask them what they should be done for the client.
- D. Insure that the client is without any distressing signs and symptoms at the end of life.
Correct Answer: A
Rationale: Resuscitation must begin immediately as per the advance directive until further instructions from the doctor.
The parent of an adolescent diagnosed with mental illness asks the nurse, Why do you want to do a family assessment? My teenager is the patient, not the rest of us. Select the nurses best response.
- A. Family dysfunction might have caused the mental illness.
- B. Family members provide more accurate information than the patient.
- C. Family assessment is part of the protocol for care of all patients with mental illness.
- D. Every family members perception of events is different and adds to the total picture.
Correct Answer: D
Rationale: The identified patient usually bears most of the family systems anxiety and may have come to the attention of parents, teachers, or law enforcement because of poor coping skills. The correct response helps the family understand that the opinions of each will be valued. It allows the nurse to assess individual coping and prepares the family for the experience of working together to set goals and solve problems. The other responses are either incorrect or evasive.