Nokea
Which comment by the parents of young children best demonstrates support of development of resilience and effective stress management?
- A. "Our children will be stronger if they make their own decisions."
- B. "We spend daily family time talking about experiences and feelings."
- C. "We use three different babysitters. All of them have college degrees."
- D. "Our parenting strategies are different from those our own parents used."
Correct Answer: B
Rationale: The correct response demonstrates consistent nurturing, which is a vital component of building resilience in children. The incorrect responses are not necessarily unhealthy parenting behaviors, but they do not clearly demonstrate parental nurturing.
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Which remark by a patient indicates passage from orientation to the working phase of a nurse-patient relationship?
- A. "I don't have any problems."
- B. "It is so difficult for me to talk about problems."
- C. "I don't know how it will help to talk to you about my problems."
- D. "I want to find a way to deal with my anger without becoming violent."
Correct Answer: D
Rationale: Thinking about a more constructive approach to dealing with anger indicates a readiness to make a behavioral change, which is associated with the working phase of the relationship.
Hospice care compares with palliative care because they both address
- A. Terminal illnesses, seek curative treatment
- B. Focus on symptom management, aggressive treatment
- C. Has terminal illness diagnoses, focuses on symptom management
- D. Has no terminal illness focus, symptom management diagnoses
Correct Answer: C
Rationale: Both hospice and palliative care (Option C) focus on symptom management for terminal illnesses, enhancing quality of life, not cure (A), aggressive treatment (B), or non-terminal conditions (D).
Defense mechanisms are methods used for reducing anxiety. Defense mechanisms unconsciously assist a person in handling stressful events in an effective manner. People have a group of defense mechanisms learned from childhood. The following are defense mechanisms (Select one that does not apply):
- A. Compensation.
- B. Rationalization.
- C. Depression.
- D. Regression.
Correct Answer: C
Rationale: Defense mechanisms are used by all people and are not necessarily a sign of psychiatric disorder unless they are used excessively. The main purpose of defense mechanisms is to decrease anxiety.
A nurse is assessing a patient diagnosed with bulimia nervosa. The patient states, 'I feel so ashamed after I eat.' What is the priority nursing intervention?
- A. Provide the patient with positive affirmations to improve body image.
- B. Encourage the patient to engage in self-care activities to improve self-esteem.
- C. Offer the patient nonjudgmental support and explore feelings of shame about eating.
- D. Tell the patient that shame is not helpful and focus on the need for balanced nutrition.
Correct Answer: C
Rationale: Offering nonjudgmental support and exploring the patient's feelings of shame can help the patient feel understood and allow the nurse to address the emotional aspects of the disorder.
You find a patient on the floor at shift change. She is awake and alert. She is confused now and was not confused prior to the being found on the floor. What is your first step in the nursing process in this situation?
- A. Leave the patient to get help.
- B. Gather more information by making observations about the patient.
- C. Call the patients MD from your cell phone.
- D. Help the patient get up and then document your findings in the chart.
Correct Answer: B
Rationale: Being the first person on scene, you need to find out as much information as possible to report to the charge nurse as part of data collection. Never leave the patient alone until you are sure the patient is secure.