Nokea
Which of the following is a feature of pre-psychotic prodrome?
- A. Seizures.
- B. Migrainous headaches.
- C. Mood changes.
- D. Hallucinations.
Correct Answer: C
Rationale: The pre-psychotic prodrome often includes subtle mood changes, social withdrawal, and reduced functioning, but not typically seizures or hallucinations, which occur later.
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The theorist associated with self-actualization is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: C
Rationale: Abraham Maslow's hierarchy culminates in self-actualization.
The theorist who believes that human nature is positive is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: B
Rationale: Rogers' humanistic approach views human nature as inherently positive.
The child's ability to understand others' emotions develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Empathy and perspective-taking mature in the concrete operational stage (Piaget).
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.
Which comment by a mother during a family therapy session shows evidence of scapegoating?
- A. Our youngest child always starts arguments and upsets everyone else.
- B. We all express our feelings openly except when we think it might upset my husband.
- C. Our oldest child knows that my husband and I are doing all we can for the others.
- D. After my husband has been drinking, I have to get everyone up and ready for school.
Correct Answer: A
Rationale: Scapegoating is blaming family problems on a member of the family who is not very powerful. The purpose of the blaming is to keep the focus off painful issues and off the blamers themselves. A double-bind message, such as We all express our feelings openly except when, involves giving instructions that are inherently contradictory or that place the person in a no-win situation. Our oldest child knows that is an example oftriangulation, wherein a third party is engaged to help stabilize an unstable pair within the family. A child assuming parental responsibilities (e.g., caring for siblings) because a parent fails to do so is an example of enabling.