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What feelings are most commonly experienced by nurses working with abusive families?
- A. Outrage toward the victim and discouragement regarding the abuser
- B. Helplessness regarding the victim and anger toward the abuser
- C. Unconcern for the victim and dislike for the abuser
- D. Vulnerability for self and empathy with the abuser
Correct Answer: B
Rationale: Intense protective feelings, helplessness, and sympathy for the victim are common emotions of a nurse working with an abusive family. Anger and outrage toward the abuser are common emotions of a nurse working with an abusive family.
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What is the long-term benefit of successfully implementing a constructive coping mechanism?
- A. Similar stressors will no longer have a negative affect in the future.
- B. One's ability to avoid stressors in the future is greatly improved.
- C. Stress is no longer viewed as a barrier to future happiness and success.
- D. Confidence in one's ability to manage stress in the future is reinforced.
Correct Answer: D
Rationale: The correct answer is D because successfully implementing a constructive coping mechanism reinforces confidence in managing stress in the future. It helps individuals develop resilience and adaptability, leading to better stress management skills. Choice A is incorrect as stressors can still impact individuals, but they are better equipped to handle them. Choice B is incorrect because avoiding stressors doesn't address the root cause of stress. Choice C is incorrect as stress can still pose challenges, but individuals can navigate them effectively with coping strategies.
What is the most appropriate response when a patient's behavior or comments during an office visit trigger anger or negative emotions in the physician?
- A. Confront the patient immediately
- B. Recognize these emotions and maintain control
- C. Ignore the comments and send in a resident to see the patient
- D. End the visit and schedule a follow-up with another physician
Correct Answer: B
Rationale: Self-awareness and control preserve professionalism and care quality.
The psychological test measure intellectual ability is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: C
Rationale: The WAIS measures intellectual ability across verbal and performance domains.
Which action by a nurse on the psychiatric nursing unit best supports effective use of evidence-based practice on the unit?
- A. Asking that the nurse manager arrange for a subscription to an evidence-based nursing journal to be included in the unit's yearly budget
- B. Suggesting that the unit staff take part in a research study that involves care of the newly diagnosed obsessive-compulsive client
- C. Recommending changes to a client's care plan based on information provided from randomized controlled research trials
- D. Volunteering to recruit clients for a unit-based research project that focuses on the abused teenage client
Correct Answer: C
Rationale: The correct answer is C because recommending changes to a client's care plan based on information from randomized controlled research trials directly aligns with evidence-based practice. This action involves using the best available evidence to inform and improve client care, which is a key principle of evidence-based practice. By utilizing research trials, the nurse ensures that interventions are based on proven effectiveness rather than assumptions or personal beliefs.
Option A is incorrect because subscribing to a journal alone does not guarantee application of evidence-based practice. Option B involves participation in a research study, which may not directly translate to immediate improvement in client care. Option D focuses on recruiting clients for a research project rather than directly applying evidence to individual client care plans.
Which of the following statements best describes the importance of addressing a patient's anger during an office visit?
- A. Eliminates the possibility of a lawsuit against the physician
- B. Enhances the physician's alliance with the patient
- C. Prevents the physician from pursuing sensitive issues about the patient
- D. Establishes the physician's authority over the patient
Correct Answer: B
Rationale: Addressing anger builds trust and strengthens the therapeutic alliance, improving communication and patient outcomes.