Nokea
What does the textbook consider the client's ultimate resource of positive, personal power?
- A. A strong therapeutic alliance
- B. Positive self-regard
- C. Free will
- D. A functional relationship with community
Correct Answer: C
Rationale: Free will empowers clients to enact change, per the text.
You may also like to solve these questions
The ability to learn, store, and retrieve associations between actions or things) also declines dramatically is called:
- A. Episodic Memory
- B. Associative Memory
- C. Short Term Memory
- D. Long Term Memory
Correct Answer: B
Rationale: Associative memory, linking actions or items, declines with age, per cognitive aging studies.
According to the 'Self Determination Theory' of Ryan and Deci (2000), life satisfaction derives from the fulfillment of three fundamental psychological needs. These are autonomy, relatedness, and:
- A. Success
- B. Love
- C. Excellence
- D. Competence
Correct Answer: D
Rationale: Self-Determination Theory (Ryan & Deci, 2000) includes autonomy, relatedness, and competence.
A patient admitted yesterday for injuries sustained in a fall while intoxicated believes bugs are crawling on the bed. The patient is anxious, agitated, and diaphoretic. What is the priority nursing diagnosis?
- A. Ineffective airway clearance
- B. Ineffective coping
- C. Ineffective denial
- D. Risk for injury
Correct Answer: D
Rationale: The correct answer is D: Risk for injury. This is the priority nursing diagnosis because the patient's current state of agitation and anxiety, coupled with the belief of bugs crawling on the bed, poses an immediate risk for self-injury. The patient's altered mental status and intoxication increase the likelihood of accidental harm.
Explanation for other choices:
A: Ineffective airway clearance - While this is always a critical concern, the patient's current presentation does not indicate any immediate threat to the airway.
B: Ineffective coping - While the patient may be experiencing distress, the primary focus should be on addressing the risk of injury given the patient's altered mental status.
C: Ineffective denial - While the patient may be experiencing hallucinations, the primary concern is the risk of injury rather than the patient's denial of the situation.
Which statement is most concerning regarding a depressed client's state of mind?
- A. I just want to go to sleep and not wake up.'
- B. When I get out of here I'm going to kill myself.'
- C. I'm so tired of living like this; I want it to be over.'
- D. Shooting myself with dad's gun will end it all quickly.'
Correct Answer: D
Rationale: The correct answer is D because it specifically mentions a method of suicide involving a gun, indicating a higher level of planning and immediacy. This statement suggests a clear intent to harm oneself and poses an immediate risk. Choice A expresses a desire to escape but lacks a specific plan. Choice B indicates a future intent, which may not necessarily pose an immediate risk. Choice C expresses a desire for the suffering to end but does not specify a method, indicating a lower level of immediate risk compared to choice D.
When communicating with a Muslim patient about end-of-life issues, which of the following statements best shows respect and mindfulness about Muslim beliefs?
- A. Death is expected soon
- B. We are fighting a losing battle
- C. We need to start considering options for hospice care
- D. No one knows when, where, or how someone will die
Correct Answer: D
Rationale: This reflects Islamic belief in divine will, showing cultural sensitivity.