Nokea
Which statement is most concerning regarding a depressed client's state of mind?
- A. I just want to go to sleep and not wake up.'
- B. When I get out of here I'm going to kill myself.'
- C. I'm so tired of living like this; I want it to be over.'
- D. Shooting myself with dad's gun will end it all quickly.'
Correct Answer: D
Rationale: The correct answer is D because it specifically mentions a method of suicide involving a gun, indicating a higher level of planning and immediacy. This statement suggests a clear intent to harm oneself and poses an immediate risk. Choice A expresses a desire to escape but lacks a specific plan. Choice B indicates a future intent, which may not necessarily pose an immediate risk. Choice C expresses a desire for the suffering to end but does not specify a method, indicating a lower level of immediate risk compared to choice D.
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Using the structural approach with a family in therapy, the therapist would:
- A. Try to change family principles that may be promoting dysfunctional behavior patterns.
- B. Strive to create change in destructive behavior through improvement in communications and interaction patterns.
- C. Encourage increase in the differentiation of individual family members.
- D. Promote change in dysfunctional behavior by encouraging the formation of more diffuse boundaries between family members.
Correct Answer: B
Rationale: The correct answer is B because the structural approach in family therapy focuses on improving communication and interaction patterns to create positive change in destructive behavior. This involves restructuring the family dynamics and roles to address underlying issues. Choice A is incorrect because changing family principles may not directly address specific behaviors. Choice C is incorrect as increasing differentiation alone may not target destructive behaviors. Choice D is incorrect as promoting diffuse boundaries can lead to further dysfunction rather than positive change.
Which of the following methods is most effective when getting a consensus among family members of a patient who lacks decisionmaking capacity?
- A. Remove oneself from the room and allow the family to discuss among themselves
- B. Tactfully argue for the most effective procedure
- C. Use active listening to query about decision-making processes, expectations, and understanding of the patient's illness
- D. Ask the most senior member of the family to make the final decision
Correct Answer: C
Rationale: Active listening facilitates consensus by understanding family dynamics.
According to the 'Self Determination Theory' of Ryan and Deci (2000), life satisfaction derives from the fulfillment of three fundamental psychological needs. These are autonomy, relatedness, and:
- A. Success
- B. Love
- C. Excellence
- D. Competence
Correct Answer: D
Rationale: Self-Determination Theory (Ryan & Deci, 2000) includes autonomy, relatedness, and competence.
The first thing that you should do immediately after a client accident is to:
- A. Notify the doctor.
- B. Render care.
- C. Assess the cleint.
- D. Notify the nurse manager.
Correct Answer: C
Rationale: Assessing the client is the immediate priority after an accident.
How should physicians respond to working professionals, in comparison to unemployed or low-income patients?
- A. Physicians should be more flexible with scheduling low-income patients
- B. Patients from professional occupations should be afforded greater respect
- C. Physicians should promote patients' health regardless of their socioeconomic status
- D. Physicians should fulfill the requests of other working professionals without hesitation
Correct Answer: C
Rationale: Equal treatment promotes health equity, ensuring care is based on need, not socioeconomic status.