Nokea
Which of the following choices is an effective complement to motivational interviewing?
- A. Using confidence and importance rating scales
- B. Arranging group motivational meetings with other patients
- C. Referring patients to a social worker
- D. Spending time to recall personal experience
Correct Answer: A
Rationale: Rating scales assess readiness and motivation, enhancing interviewing effectiveness.
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What is an appropriate treatment option for HIV patients in the first trimester of pregnancy?
- A. Treatment is usually delayed until the 2nd trimester
- B. Both oral and intravenous AZT
- C. Intravenous AZT
- D. Oral AZT
Correct Answer: D
Rationale: Oral AZT is standard in early pregnancy to reduce HIV transmission safely.
The spouse of a patient in hospice care angrily tells the nurse, The care provided by the aide and other family members is inadequate, so I must do everything myself. Cant anyone do things right? The palliative care nurse should:
- A. provide teaching about anticipatory grieving.
- B. assign new personnel to the patients care.
- C. arrange hospitalization for the patient.
- D. refer the spouse for crisis counseling.
Correct Answer: A
Rationale: The behaviors described in this scenario are consistent with anticipatory grieving. The spouse needs to be taught about the process of anticipatory grieving and to receive counseling to validate what she is experiencing and to enhance coping. The incorrect options are not appropriate to the situation and do not respond to the spouses needs.
The psychological test Thematic Apperception Test measure
- A. Intelligence
- B. Personality
- C. Aptitude
- D. Behavior
Correct Answer: B
Rationale: The TAT assesses personality by analyzing stories individuals create from ambiguous pictures.
You are caring for an acute care adult client in the medical unit who has no history of a psychiatric mental health disorder. This 76 year old client has suddenly and abruptly started to exhibit episodic and intermittent periods of time vacillating between periods of impaired cognition and periods of mental clarity. The client reports to you that they are seeing clowns in their room. This client is dehydrated and has just begun taking an anticholinergic medication. Which of the following is the most appropriate nursing diagnosis for this client?
- A. Psychotic symptoms related to sensory overload
- B. Psychotic symptoms related to a previously undiagnosed psychosis
- C. Visual disturbances related to dementia
- D. Visual disturbances related to delirium
Correct Answer: D
Rationale: Delirium (D) fits sudden onset with dehydration and medication factors.
A multi-cultural perspective...
- A. Should recognize that subcultures influence society
- B. Is the same thing as an ethnic-sensitive practice model
- C. Recognizes not everyone engages with a culture
- D. Recognizes too many subcultures can weaken society
Correct Answer: C
Rationale: A multicultural perspective acknowledges that cultural engagement varies individually, not assuming universal participation.