Which of the following statements best describes the importance of addressing a patient's anger during an office visit?
- A. Eliminates the possibility of a lawsuit against the physician
- B. Enhances the physician's alliance with the patient
- C. Prevents the physician from pursuing sensitive issues about the patient
- D. Establishes the physician's authority over the patient
Correct Answer: B
Rationale: Addressing anger builds trust and strengthens the therapeutic alliance, improving communication and patient outcomes.
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A child drowned while swimming in a local lake four years ago. Which behavior indicates that the parents are effectively coping with their loss? The parents:
- A. prohibit their other children from going swimming.
- B. keep a place set for the dead child at the family dinner table.
- C. keep their childs room exactly as the child left it four years ago.
- D. throw flowers on the lake at each anniversary date of the accident.
Correct Answer: D
Rationale: The loss of a child is among the highest risk situations for dysfunctional grieving. The parents who throw flowers across the lake on each anniversary date of the accident are effectively using a ritual to express their feelings openly. The other behaviors indicate the parents are isolating themselves or denying their feelings or both.
Which disorder caused Minuchin and others to understand SFT wasn't just for L1 families?
- A. Self-harm
- B. Anorexia
- C. Substance abuse
- D. Conduct disorder
Correct Answer: B
Rationale: Anorexia cases showed SFT's utility beyond Level 1, addressing complex family dynamics.
nresolved conflicts during a psychosexual stage is called
- A. Repression
- B. Fixation
- C. Sublimation
- D. Projection
Correct Answer: B
Rationale: Fixation (Freud) occurs when unresolved conflicts halt development at a psychosexual stage.
The nurse is managing the care of a client who recently lost his job and is diagnosed with mild situational depression. During the assessment interview, the client volunteered that he stopped attending school in the 8th grade. The nurse is satisfied that a client's lack of formal education has not become a risk factor to his mental health when he:
- A. Asks the nurse to provide him with materials on depression to read.
- B. Reflects on his problem and formulates a realistic plan to find another job.
- C. Signs a safety contract that states he will notify staff of any suicidal ideations he develops.
- D. Promises to attend his group sessions and take his prescribed antidepressant medication.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. Reflecting on his problem and formulating a realistic plan to find another job shows the client's ability to cope and problem-solve, indicating resilience.
2. This demonstrates that the client is actively engaging in positive behaviors to address his situation, which is crucial in managing situational depression.
3. By formulating a plan, the client shows motivation and initiative, which are essential in overcoming challenges.
4. Options A, C, and D do not directly address the client's situation of job loss and his need to find employment, making them less relevant in this context.
What is the most appropriate response when a patient's behavior or comments during an office visit trigger anger or negative emotions in the physician?
- A. Confront the patient immediately
- B. Recognize these emotions and maintain control
- C. Ignore the comments and send in a resident to see the patient
- D. End the visit and schedule a follow-up with another physician
Correct Answer: B
Rationale: Self-awareness and control preserve professionalism and care quality.