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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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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.
How many categories of test used in guidance:
- A. 5
- B. 4
- C. 6
- D. 3
Correct Answer: A
Rationale: Guidance tests (e.g., aptitude, interest, personality, achievement, intelligence) are typically categorized as 5.
Which of the following statements is correct regarding identifying patients at risk for HIV infection?
- A. All patients should be considered as being at risk for HIV infection
- B. Only homosexual patients should be considered at risk for HIV infection
- C. Only patients who use intravenous drugs should be considered at risk for HIV infection
- D. A monogamous heterosexual woman is not considered at risk for HIV infection
Correct Answer: A
Rationale: HIV risk is not limited to specific groups; universal screening is recommended.
You are running a caregiver support group for those who are caring for a person with impaired cognition related to Alzheimer's disease. You are planning a session on the stages of Alzheimer's disease, its progression and some useful helpful tips for these participating care givers. Which of the following elements should you include in this session?
- A. According to the Global Deterioration Scale, clients in the first stage of Alzheimer's disease tend to cover up their failing abilities
- B. According to the Reisberg Scale, clients in the first stage of Alzheimer's disease tend to cover up their failing abilities
- C. According to the Global Deterioration Scale, clients in the third stage of Alzheimer's disease tend to cover up their failing abilities
- D. According to the Reisberg Scale, clients in the fourth stage of Alzheimer's disease tend to cover up their failing abilities
Correct Answer: A
Rationale: The Global Deterioration Scale (A) notes denial in stage 1.