Nokea
Which of the following factors would be the most influential in determining a client's response to a particular stressor?
- A. The client's experience with stress
- B. The client's perception of the stressor
- C. Duration of the stressor
- D. Severity of the stressor
Correct Answer: B
Rationale: The client's perception of the stressor is the most influential factor in determining their response.
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The nurse is preparing to administer PRN medication to a client of Japanese descent who is anxious. The prescription reads, 'Alprazolam (Xanax) 0.25 to 1.0 mg PO PRN.' The best dose for the nurse to give initially is
- A. 0.25 mg.
- B. 0.5 mg.
- C. 0.75 mg.
- D. 1.0 mg.
Correct Answer: A
Rationale: Persons of Asian descent often metabolize drugs more slowly, requiring lower doses to produce therapeutic effects and minimize side effects.
Which of the following statements about spirituality are true? Select all that apply.
- A. Many clients with mental disorders have disturbing religious delusions.
- B. Religious activities have been shown to be linked with better health and a sense of well-being.
- C. Spirituality only involves religion.
- D. Hope and faith are two critical factors in psychiatric and physical rehabilitation.
- E. Spirituality may include a relationship with the environment.
Correct Answer: A,B,D,E
Rationale: Spirituality encompasses beliefs about life's meaning, including religious practices, hope, faith, and environmental connections, and is linked to better health outcomes.
A nurse is teaching decision-making skills to a client with dependent personality disorder. According to Erikson, the likely cause of the client developing dependent personality is failure to meet the critical task of which developmental stage?
- A. Trust
- B. Autonomy
- C. Initiative
- D. Industry
Correct Answer: D
Rationale: Failure to complete the critical task of industry versus inferiority results in a negative outcome, impeding the development of confidence in one's abilities, which can contribute to dependent personality traits.
A client is actively involved in community service activities. The benefit of involvement in meaningful daily activities will most directly contribute to which of the following attributes?
- A. Self-efficacy
- B. Resilience
- C. Resourcefulness
- D. Hardiness
Correct Answer: D
Rationale: Hardiness, characterized by commitment to meaningful activities, helps individuals resist illness under stress.
A client reports feeling like he belongs among his peers with whom he shares a group home. The nurse incorporates this sense of belonging when formulating discharge plans because the nurse understands which of the following?
- A. Living with a peer group often increases anxiety.
- B. Peers may alienate the client from daily living activities.
- C. The client will likely feel needed by his peers.
- D. Peer groups often do too much for each other causing dependency.
Correct Answer: C
Rationale: A sense of belonging reduces anxiety and fosters a sense of purpose and social productivity.