Nokea
Your new patient in the ER states that she was been beaten and raped. What should you do first?
- A. Ask for a psychiatric consult.
- B. Stay with her and provide support.
- C. Wash and dress her wounds before the rape kit is performed.
- D. Encourage her to tell you the details of what happened.
Correct Answer: B
Rationale: Providing security and support are the best initial interventions. Response C is incorrect. Responses A and D may be needed later.
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A member of a group verbally lashes out at the nurse leading the discussion on assuming responsibility for behaviors. When the individual states, 'I was abused as a child by my father; you can't make me take responsibility for all the problems he created for me,' the nurse replies:
- A. Can we talk about when your father started abusing you?'
- B. This is a safe place to express your anger about the abuse and about your father.'
- C. May I suggest we end the session today so you don't direct your anger toward me?'
- D. I sense that you have unresolved issues with your father but we need to work on your anger.'
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the individual's feelings of anger and provides a safe space for expression. By validating their emotions and offering support, the nurse can help the individual process their past trauma. Choice A focuses solely on the abuse timeline and may not address the immediate emotional need. Choice C avoids the issue and may not help the individual address their feelings constructively. Choice D acknowledges the unresolved issues but doesn't actively support the individual in expressing their emotions. In summary, choice B is the most appropriate as it validates the individual's feelings and offers a safe environment for emotional expression.
Which statement about targeted assessments is accurate?
- A. The need for a targeted assessment is based on the application of the nurse's knowledge of pathophysiology and the presenting symptoms.
- B. The need for a targeted assessment is based on the application of the nurse's knowledge of developmental needs and developmental delays.
- C. Targeted assessment is done on an annual basis for existing clients rather than a complete assessment that is done for new clients.
- D. Targeted assessments consist of a brief medical history and a complete assessment consists of a complete health history and a complete physical assessment.
Correct Answer: A
Rationale: Targeted assessments (A) focus on specific symptoms using pathophysiology.
What is the most appropriate response when a patient's behavior or comments during an office visit trigger anger or negative emotions in the physician?
- A. Confront the patient immediately
- B. Recognize these emotions and maintain control
- C. Ignore the comments and send in a resident to see the patient
- D. End the visit and schedule a follow-up with another physician
Correct Answer: B
Rationale: Self-awareness and control preserve professionalism and care quality.
Which evaluation data supports that the client diagnosed with schizophrenia has benefited from his family's involvement in psychoeducational programming?
- A. The client is living with his parents.
- B. The client has not relapsed in three years.
- C. The family is supplementing the client's disability income.
- D. The family provides the client with transportation to his part-time job.
Correct Answer: B
Rationale: The correct answer is B because the client not relapsing in three years indicates a positive outcome from the family's involvement in psychoeducational programming. This suggests that the family's support has contributed to the client's stability and well-being.
Choice A is incorrect as living with parents alone does not demonstrate the effectiveness of psychoeducational programming. Choice C is incorrect as supplementing disability income does not directly show the client's improvement. Choice D is also incorrect as providing transportation to a job does not specifically relate to the client's schizophrenia treatment outcome.
Which of the following parts of the brain is associated with multiple feelings and behaviors and is sometimes referred to as the emotional brain?
- A. Frontal lobe
- B. Thalamus
- C. Hypothalamus
- D. Limbic system
Correct Answer: D
Rationale: The limbic system is known for its role in emotions, behavior, and memory, often referred to as the emotional brain, aligning with option d.