Nokea
Which question best assesses an individual's ability to cope with the potential emotional crisis resulting from the death of a parent?
- A. Have you ever lost a loved one before?'
- B. Do you think you will be able to cope well?'
- C. Do you feel you have supportive people to rely upon?'
- D. Are you able to draw on fond memories of your parent?'
Correct Answer: A
Rationale: The correct answer is A, "Have you ever lost a loved one before?" This question assesses the individual's prior experience with loss, providing insight into their coping mechanisms. It allows the individual to reflect on past experiences and potentially apply strategies used previously. Choice B is too direct and may not accurately predict coping ability. Choice C focuses on external support rather than individual coping skills. Choice D assumes positive memories are always accessible, which may not be the case in grief.
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The primary impact that the development and use of psychotropic drugs had on nursing's role in the care of clients with mental health disorders was:
- A. The availability of mental health therapies as an outpatient service.
- B. The expansion of the role assumed by professionally trained nurses.
- C. Nurses were needed to fill the gap created by a lack of medical personnel.
- D. More nurses were required to address the needs of the now treatable mental health clients.
Correct Answer: B
Rationale: The correct answer is B because the development and use of psychotropic drugs allowed nurses to take on a more expanded role in caring for clients with mental health disorders. With these medications, nurses could now actively participate in medication administration, monitoring of side effects, educating clients on drug regimens, and collaborating with other healthcare professionals in treatment planning. This increased responsibility and involvement in the treatment process led to a more significant impact on patient outcomes and overall care quality.
Choice A is incorrect because the availability of mental health therapies as an outpatient service is more influenced by various factors such as healthcare policies and funding rather than just the development of psychotropic drugs. Choice C is incorrect as the use of psychotropic drugs did not specifically create a lack of medical personnel that nurses needed to fill. Choice D is incorrect as the increase in the number of nurses was not solely due to the treatability of mental health clients but rather the expanded role that nurses took on in caring for these clients.
The psychological test that measures the unconscious mind is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. All of these
Correct Answer: A
Rationale: Rorschach inkblot test probes unconscious thoughts via interpretation.
Joe, a Native American, appears at the community health clinic with an oozing stasis ulcer on his lower right leg. It is obviously infected, and he tells the nurse that the shaman has been treating it with herbs. The nurse determines that Joe needs emergency care, but Joe states he will not go to the emergency department (ED) unless the shaman is allowed to help treat him. How should the nurse handle this situation?
- A. Contact the shaman and have him meet them at the ED to consult with the attending physician.
- B. Tell Joe that the shaman is not allowed in the ED.
- C. Explain to Joe that the shaman is at fault for his leg being in the condition it is in now.
- D. Have the shaman try to talk Joe into going to the ED without him.
Correct Answer: A
Rationale: Joe's cultural reliance on the shaman for treatment requires the nurse to respect this belief by allowing the shaman's involvement in the ED, ensuring cultural sensitivity and compliance with treatment, aligning with option a.
The philosophy used in symbolic integrationist theory teaches that
- A. The best social theory that describes all about the society and its people
- B. Knowledge is produced in everyday situations
- C. Theory must be acquainted by straightforward and plausible methods
- D. We can find true objective knowledge of the world through our senses
Correct Answer: B
Rationale: Symbolic interactionism posits that knowledge and meaning arise from daily social interactions.
A client diagnosed with depression has reported fatigue and poor concentration. When she is told that the results of her sleep study show that she has excessive REM sleep cycles, the client asks the nurse to explain what those results mean. The nurse best answers the client's concerns by replying:
- A. It means that you are sleep deprived.'
- B. REM sleep stands for rapid eye movement sleep.'
- C. Too much REM sleep deprives you of deep restoring sleep.'
- D. Depressed individuals generally experience prolonged periods of REM sleep.'
Correct Answer: C
Rationale: The correct answer is C: "Too much REM sleep deprives you of deep restoring sleep." This is the best answer because excessive REM sleep can disrupt the normal sleep cycle, leading to a deprivation of deep, restorative sleep stages like slow-wave sleep. During REM sleep, the brain is active, but the body remains mostly immobile. This can result in poor sleep quality and contribute to symptoms of fatigue and poor concentration reported by the client.
Choice A is incorrect because excessive REM sleep does not necessarily mean the client is sleep deprived. Choice B is an oversimplification and does not address the potential negative impact of excessive REM sleep on sleep quality. Choice D is also incorrect because while depressed individuals may have alterations in their sleep patterns, not all depressed individuals experience prolonged periods of REM sleep.