Which of the following was NOT one of Bieztek's original seven principles in the Helping Relationship?
- A. Cultural competence
- B. Self-determination
- C. Purposeful expression of feelings
- D. Controlled emotional involvement
Correct Answer: A
Rationale: Biestek's original principles focused on core relational dynamics like self-determination, not cultural competence, which emerged later.
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Your new 90-year-old patient is admitted with a broken wrist and multiple bruises. The caregiver reports the patient falls when she wanders. Which of the following would lead you to suspect elder abuse?
- A. Inconsistent explanations about the details of the falls.
- B. The patient tells you she doesnt like the caregiver.
- C. The patient begins crying when her daughter arrives.
- D. The patient has a UTI.
Correct Answer: A
Rationale: Inconsistent explanations of injuries are a common indicator of abuse. All of the other responses would not be indicators on their own, but with other factors may lead you to suspect abuse.
All of the following are suggested ways of enhancing/ developing one's self esteem except
- A. Take action to become aware of your personal strengths
- B. Minimize settings and interactions that detract from your feelings of competence
- C. Talk and socialize frequently with people who boost your self esteem
- D. All of these are the ways to enhance one's self esteem
Correct Answer: D
Rationale: All listed options are valid strategies to enhance self-esteem, so 'except' doesn't apply.
What is the effect of weight-loss counseling by primary care providers on patient willingness to attempt to lose weight?
- A. Negligible
- B. Doubles the odds
- C. Triples the odds
- D. Quadruples the odds
Correct Answer: B
Rationale: Counseling doubles willingness by providing motivation and guidance.
What are the nursing implications associated with administering blood and blood products to a client who has a blood type of B negative?
- A. The nurse must be knowledgeable about the fact that this client has A and B agglutinins and lacks the Rh factor
- B. The nurse must be knowledgeable about the fact that this client has B and O agglutinins and lacks the Rh factor
- C. The nurse must be knowledgeable about the fact that this client has B agglutinins and lacks the Rh factor
- D. The nurse must be knowledgeable about the fact that this client has A agglutinins and lacks the Rh factor
Correct Answer: C
Rationale: B negative clients have B agglutinins (C) and lack Rh factor.
One of the key messages in the WHO publication on Promoting Mental Health states that basic individual rights are needed to maintain a high level of mental health. What in particular is provided by these rights to maintain mental health?
- A. Security and freedom.
- B. Freedom of speech.
- C. Protection.
- D. Social welfare if unable to work.
Correct Answer: A
Rationale: The WHO emphasizes that security and freedom are fundamental rights that support mental health by providing a stable and safe environment.
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