Nokea
You are working in a community pediatric health clinic. Which expected life transition should you apply into your practice for these pediatric clients as you are caring for pediatric clients of all ages?
- A. Pregnancy
- B. Puberty
- C. Childhood immunizations
- D. Separation anxiety
Correct Answer: C
Rationale: Immunizations are a critical aspect of pediatric care.
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A client has been voluntarily admitted to a mental health unit for treatment of acute depression. Which client request will the nurse deny based on this type of commitment?
- A. Notifying his wife to bring him his personal cell phone
- B. Arranging for him to cast his absentee vote for a city election
- C. Mailing out his driver's license renewal form as a registered letter
- D. Arranging for a private space where he can meet with his attorney
Correct Answer: A
Rationale: The correct answer is A because in a voluntary admission for acute depression, the client retains their basic rights, such as making personal phone calls. However, the nurse may deny the request to have the personal cell phone brought in due to concerns about safety, privacy, and potential access to harmful content. Choice B is incorrect as the client has the right to participate in civic activities like casting a vote. Choice C is incorrect as it involves maintaining personal documentation. Choice D is incorrect as the client has the right to meet with their attorney in a private space.
The psychological test measure self-concept is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: D
Rationale: The TAT can reveal self-concept through the personal narratives elicited.
Amanda’s mobile home was destroyed by a tornado. Amanda received only minor injuries, but is experiencing disabling anxiety in the aftermath of the event. This type of crisis is called:
- A. Crisis resulting from traumatic stress
- B. Maturational/developmental crisis
- C. Dispositional crisis
- D. Crisis of anticipated life transitions
Correct Answer: A
Rationale: The correct answer is A: Crisis resulting from traumatic stress. This is because Amanda's anxiety is a direct result of the traumatic event of her mobile home being destroyed by a tornado. Traumatic stress can lead to emotional and psychological distress, such as anxiety, following a life-threatening or traumatic event.
Choices B, C, and D are incorrect:
B: Maturational/developmental crisis refers to crises that arise from normal life transitions or developmental stages. Amanda's situation is not a result of a typical life transition.
C: Dispositional crisis is a result of pre-existing personality characteristics or coping strategies. Amanda’s crisis is not due to her inherent disposition.
D: Crisis of anticipated life transitions involves stress related to expected life changes. Amanda's situation was unexpected due to the tornado and not a planned life transition.
Power is NOT defined as...
- A. The capacity to gain necessary resources to remove oneself from oppression
- B. Accruing to those with the most resources because they've earned it
- C. The capacity to influence the forces that affect one's life space
- D. Gaining resources to guarantee one's ability to perform
Correct Answer: B
Rationale: Power is about influence and resource access, not an inherent reward for accumulation.
Which nursing intervention best builds a therapeutic nurse-client relationship?
- A. Actively listening as the client expresses his or her thoughts and feelings
- B. Intervening when the client begins to state beliefs that come from his or her illness
- C. Evaluating a client's behaviors and interpersonal relationships frequently to identify stressors
- D. Passively allowing the client to control the communication and tone of the discussions
Correct Answer: A
Rationale: The correct answer is A because actively listening allows the nurse to show empathy, understanding, and respect towards the client, which are essential for building a therapeutic relationship. By actively listening, the nurse can demonstrate genuine interest in the client's thoughts and feelings, fostering trust and rapport.
Choice B is incorrect as intervening when the client expresses beliefs from their illness may disrupt the client's expression and hinder the development of trust.
Choice C is incorrect because evaluating behaviors and relationships may create a sense of judgment and lack of privacy, which can be detrimental to the therapeutic relationship.
Choice D is incorrect because passively allowing the client to control communication may lead to a lack of direction and boundaries, potentially hindering effective communication and rapport-building.