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Which of the following is likely to be an important benefit of exploring a Patient's Explanatory Model of Illness?
- A. Improved patient adherence and increased understanding of the patient's perspective
- B. Less complaints about the physician from the patient
- C. Prompt payment of physician fees
- D. Less litigation
Correct Answer: A
Rationale: Understanding the patient's model improves adherence and tailors care effectively.
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The primary purpose of root cause analysis is to:
- A. Discover a process flaw
- B. Determine who erred
- C. Discover environmental hazards
- D. Determine basic client needs
Correct Answer: A
Rationale: Root cause analysis focuses on identifying systemic process flaws.
he theorist who believes that human behavior is predictable is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: C
Rationale: B.F. Skinner's behaviorism predicts behavior based on stimulus-response patterns.
A patient diagnosed with metastatic brain cancer says, I'm dying, but I'm still living. I want to be in control as long as I can. Which reply shows the nurse was actively listening?
- A. Our staff will do their best to help you feel comfortable.
- B. Most people do not know how to help and are afraid of death.
- C. Your mind and spirit are healthy, although your body is frail.
- D. You want people to stop focusing on your weaknesses.
Correct Answer: C
Rationale: The patient is asking for acknowledgment that he or she is not totally sick; even in the terminal state, strengths and capabilities are present. The correct response provides that acknowledgment through use of reflection. The other responses are nontherapeutic.
Which of the following Spanish words would be most appropriate to describe 'wheezing' to Mexican patients?
- A. Resuello
- B. Sibilancia
- C. Jadeo
- D. Ronquer
Correct Answer: A
Rationale: Resuello' is commonly understood as wheezing in Mexican Spanish.
The experience of feeling competent to cope with the basic challenges in life and of being worthy of happiness is
- A. Arrogance
- B. Self-efficacy
- C. Self-esteem
- D. Wishful thinking
Correct Answer: C
Rationale: Self-esteem reflects competence and worthiness (Rosenberg).