Nokea
What are three core emotional and interpersonal dimensions?
- A. Unconditional positive regard, respect and genuineness
- B. Empathy, respect and self-awareness
- C. Empathy, respect and genuineness
- D. Unconditional positive regard, empathy and self-awareness
Correct Answer: C
Rationale: Empathy, respect, and genuineness are widely recognized as key therapeutic dimensions.
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When asked if complementary and alternative medicine (CAM) therapies have value as nursing interventions for mentally ill individuals the nurse replies:
- A. If the client is interested in CAM therapies, as a nurse I need to support that interest.'
- B. CAM therapies are controversial; as a nurse I think their use should be discussed with the physician first.'
- C. Some of these therapies have been proven to have a positive impact on a variety of mental health conditions; to provide effective care for my clients I need to be aware and open to their appropriate use.'
- D. These nontraditional therapies seem to work for some people; as a nurse, I need to educate my clients as to their limitations.'
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct:
1. Choice C acknowledges that some CAM therapies have been proven to have a positive impact on mental health conditions.
2. As a nurse, being aware and open to the appropriate use of these therapies can enhance the quality of care provided to mentally ill individuals.
3. By embracing evidence-based practices, the nurse can integrate effective CAM therapies into the treatment plan.
4. It demonstrates a patient-centered approach by considering the potential benefits of CAM therapies for individual clients.
5. This response aligns with the principles of holistic nursing care and evidence-based practice in mental health.
Summary:
Choice A focuses solely on the client's interest without considering evidence-based practice. Choice B emphasizes the controversial nature of CAM without recognizing its potential benefits. Choice D implies a lack of confidence in CAM therapies without acknowledging their proven efficacy. Choice C stands out for its evidence-based approach and patient-centered care in considering the positive impact of CAM therapies on mental health conditions.
The child's ability to understand consequences develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Understanding consequences, tied to logical thinking, develops in the concrete operational stage (Piaget).
In general, what are the two common areas in schools in which children with hearing loss have troubles?
- A. Science and social studies
- B. One in four
- C. Reading and writing
- D. Math and science
Correct Answer: C
Rationale: Hearing loss impacts language skills, affecting reading and writing most.
A patient newly diagnosed with pancreatic cancer says, My father also died of pancreatic cancer. I took care of him during his illness. I can't go through that. Select the highest priority nursing diagnosis.
- A. Anticipatory grieving
- B. Ineffective coping
- C. Ineffective denial
- D. Risk for suicide
Correct Answer: D
Rationale: The patients statement has a subtle message of suicide. Suicide is a risk for people with major losses, including terminal disease. The nurse will need to monitor the suicide risk vigilantly. The other diagnoses may apply but are lower priority.
Using Bowen’s systems approach with a family in therapy, the therapist would:
- A. Try to change family principles that may be promoting dysfunctional behavior patterns.
- B. Strive to create change in destructive behavior through improvement in communication and interaction patterns.
- C. Encourage increase in the differentiation of individual family members.
- D. Promote change in dysfunctional behavior by encouraging the formation of more diffuse boundaries between family members.
Correct Answer: C
Rationale: The correct answer is C because in Bowen's systems approach, the therapist focuses on increasing the differentiation of individual family members. This means helping each member develop their own sense of self and become more autonomous within the family system. By doing so, family members can better manage their emotions and relationships, leading to healthier dynamics.
Choice A is incorrect because Bowen's approach does not aim to change family principles but rather focuses on individual growth within the family system. Choice B is incorrect because the emphasis is not solely on improving communication but rather on enhancing differentiation. Choice D is incorrect because promoting more diffuse boundaries can actually lead to further dysfunction, as Bowen's approach emphasizes strengthening individual boundaries for healthier family functioning.