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Which of the following statements may be an effect of psychologicalization in the clinical context?
- A. Reduced psychological distress
- B. Increased involvement of psychologists and psychiatrists in the management of acutely ill patients
- C. Misdiagnosis
- D. Increased detection of undiagnosed depression
Correct Answer: C
Rationale: Overemphasis on psychology can lead to misdiagnosis of physical conditions.
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An adult in the emergency department states, 'I feel restless. Everything I look at wavers. Sometimes I’m outside my body looking at myself. I hear colors. I think I’m losing my mind.' Vital signs are slightly elevated. The nurse should suspect a(n):
- A. schizophrenic episode
- B. cocaine overdose
- C. phencyclidine (PCP) intoxication
- D. D-lysergic acid diethylamide (LSD) ingestion
Correct Answer: D
Rationale: The correct answer is D, D-lysergic acid diethylamide (LSD) ingestion. LSD causes visual disturbances, dissociation, heightened sensory perceptions, and altered sense of reality, matching the client's symptoms. Vital signs being slightly elevated are consistent with LSD use. Schizophrenic episodes (A) involve long-term symptoms, not acute onset. Cocaine overdose (B) would present with more severe vital sign changes. PCP intoxication (C) typically causes aggression and hallucinations, not the described symptoms.
What is the long-term benefit of successfully implementing a constructive coping mechanism?
- A. Similar stressors will no longer have a negative affect in the future.
- B. One's ability to avoid stressors in the future is greatly improved.
- C. Stress is no longer viewed as a barrier to future happiness and success.
- D. Confidence in one's ability to manage stress in the future is reinforced.
Correct Answer: D
Rationale: The correct answer is D because successfully implementing a constructive coping mechanism reinforces confidence in managing stress in the future. It helps individuals develop resilience and adaptability, leading to better stress management skills. Choice A is incorrect as stressors can still impact individuals, but they are better equipped to handle them. Choice B is incorrect because avoiding stressors doesn't address the root cause of stress. Choice C is incorrect as stress can still pose challenges, but individuals can navigate them effectively with coping strategies.
Which of the following security concerns is also a sentinel event that must be reported?
- A. A possible vulnerability of the facility's information technology to hacking
- B. The assisted suicide of a client in your facility by the spouse of the client
- C. Vulnerability to computer hacking
- D. Potential information theft
Correct Answer: B
Rationale: Assisted suicide is a sentinel event requiring reporting.
Select the standardized “hand off†change of shift reporting system that is accurately paired with its elements.
- A. SBAR: Symptoms, background, assessment and recommendations
- B. ISBAR: Interventions, symptoms, background, assessment and recommendations
- C. The Five Ps: The patient, plan, purpose, problems and precautions
- D. BATON: Background, assessment, timing, ownership and next plans
Correct Answer: B
Rationale: ISBAR includes these elements for structured communication.
he theorist who believes that human behavior is influenced by social factors is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: D
Rationale: Albert Bandura's social learning theory emphasizes social influences.