Which of the following is NOT one of Ryff's fundamental elements of psychological well-being:
- A. Life purpose
- B. Social growth
- C. Positive relatedness
- D. Self-acceptance
Correct Answer: B
Rationale: Ryff's 6 elements are purpose, autonomy, mastery, relatedness, self-acceptance, and personal growth (not social growth).
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How should physicians interact with colleagues to lower rates of poor adherance among patients?
- A. Support colleagues who have had frustrating experiences with patients
- B. Provide feedback on communication style by reframing patient encounters
- C. Keep tabs on patients and families who have histories of noncompliance
- D. Reprimand colleagues for rash, unprofessional behavior
Correct Answer: B
Rationale: Feedback improves communication, reducing adherence issues.
What are three core emotional and interpersonal dimensions?
- A. Unconditional positive regard, respect and genuineness
- B. Empathy, respect and self-awareness
- C. Empathy, respect and genuineness
- D. Unconditional positive regard, empathy and self-awareness
Correct Answer: C
Rationale: Empathy, respect, and genuineness are widely recognized as key therapeutic dimensions.
You are caring for a client who has been taking illicit amphetamines and states that they continue to use this illicit drug because they 'suffer and feel lousy' when they try to stop taking it. Which nursing diagnosis is the most appropriate for this client?
- A. Psychological dependence secondary to amphetamine use
- B. Substance abuse secondary to amphetamine use
- C. Addiction secondary to amphetamine use
- D. Physical dependence secondary to amphetamine use
Correct Answer: D
Rationale: Physical dependence (D) is indicated by withdrawal symptoms.
The psychological test that measures creativity is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: D
Rationale: TAT assesses creativity through story originality.
Why are beta blockers given to patients experiencing anxiety?
- A. Help to slow heart rate and decrease blood pressure
- B. Ataxia
- C. Sexual dysfunction
- D. Urinary retention
Correct Answer: A
Rationale: Beta blockers are given for anxiety as they help slow heart rate and decrease blood pressure, reducing physical symptoms of anxiety like palpitations and sweating. This is achieved by blocking the effects of adrenaline on the heart and blood vessels. Ataxia, sexual dysfunction, and urinary retention are not typical side effects of beta blockers and are not relevant to their use in treating anxiety.
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