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When gathering information for an assessment, the child will be the main source of information
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Children are not typically the primary source; adults provide more context initially.
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The psychosexual stage associated with dependency is
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: A
Rationale: The oral stage (birth-1 year, Freud) involves dependency on caregivers.
Which of these clients is at greatest risk for falls?
- A. A 77 year old female client in a client room that has low glare floors.
- B. An 87 year old female client in a client room that has low glare floors.
- C. A 27 year old sedated male client.
- D. A 37 year old male client with impaired renal perfusion.
Correct Answer: B
Rationale: Elderly clients, especially those over 85, are at higher risk for falls.
The psychological test measure perception is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: A
Rationale: The Rorschach test assesses perception through interpretation of ambiguous stimuli.
An 11-year-old says, My parents dont like me. They call me stupid and say they wish I were never born. It doesn't matter what they think because I already know Im dumb. Which nursing diagnosis applies to this child?
- A. Chronic low self-esteem related to negative feedback from parents
- B. Deficient knowledge related to interpersonal skills with parents
- C. Disturbed personal identity related to negative self-evaluation
- D. Complicated grieving related to poor academic performance
Correct Answer: A
Rationale: The child has indicated a belief in being too dumb to learn. The child receives negative and demeaning feedback from the parents. The child has internalized these messages, resulting in a low self-esteem. Deficient knowledge refers to knowledge of health care measures. Disturbed personal identity refers to an alteration in the ability to distinguish between self and non-self. Grieving may apply, but a specific loss is not evident in the scenario. Low self-esteem is more relevant to the childs statements.
Which theory focuses on foolish sexuality in advancement of neurosis:
- A. Controlling theory
- B. Leading theory
- C. Counseling theory
- D. Cognitive theory
Correct Answer: D
Rationale: This likely refers to Freud's psychoanalysis, mislabeled here; cognitive theory isn't relevant to neurotic sexuality.