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Your patient, who has reported domestic violence, now tells you she is going home with her husband because he has apologized and says he is taking her to Hawaii on a romantic vacation. Which statement best helps you understand her actions?
- A. Her husband has received treatment for anger management.
- B. This is the honeymoon phase of the abuse cycle.
- C. This is the resolution phase of the family crisis.
- D. She mistakenly reported domestic violence.
Correct Answer: B
Rationale: The honeymoon phase is part of the domestic violence cycle when the abuser shows repentance for his violence. The patient remains hopeful, but without treatment the cycle will continue.
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The psychological test that measures motivation is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: D
Rationale: TAT reveals underlying motives through story responses.
A client suspected of being schizophrenic is scheduled for a computed tomography (CT). The nurse informs the client that the diagnostic test will:
- A. Confirm the diagnosis of schizophrenia.
- B. Trace the flow of blood through his brain.
- C. Allow the doctors to view the structures of his brain.
- D. Help determine the areas of his brain that are overreacting.
Correct Answer: C
Rationale: The correct answer is C because CT scans allow doctors to view the structures of the brain, which can help identify any abnormalities or conditions present. This is essential in diagnosing and understanding conditions like schizophrenia. Choice A is incorrect because CT scans do not confirm psychiatric diagnoses; they provide anatomical information. Choice B is incorrect as CT scans do not trace blood flow, that's done through techniques like fMRI or PET scans. Choice D is incorrect because CT scans do not determine brain areas that are overreacting, that's usually assessed through functional imaging techniques.
When assessing a patient who has ingested flunitrazepam (Rohypnol), the nurse would expect:
- A. acrophobia
- B. hypothermia
- C. hallucinations
- D. anterograde amnesia
Correct Answer: D
Rationale: The correct answer is D: anterograde amnesia. Flunitrazepam is a benzodiazepine known for causing memory loss, specifically anterograde amnesia, where the person has difficulty forming new memories after ingestion. This is due to the drug's effects on the hippocampus and frontal cortex. Acrophobia (fear of heights), hypothermia, and hallucinations are not typically associated with flunitrazepam ingestion. Therefore, D is the expected outcome when assessing a patient who has ingested flunitrazepam.
A person with high self esteem would also have high self respect and could be expected to exhibit the following behaviors
- A. Stay in relationships where one is physically or mentally abused
- B. Human relation principles
- C. Focus on needs of others
- D. Basic cognitive psychology
Correct Answer: C
Rationale: High self-esteem individuals prioritize others' needs over abusive situations.
You are running a caregiver support group for those who are caring for a person with impaired cognition related to Alzheimer's disease. You are planning a session on the stages of Alzheimer's disease, its progression and some useful helpful tips for these participating care givers. Which of the following elements should you include in this session?
- A. According to the Global Deterioration Scale, clients in the first stage of Alzheimer's disease tend to cover up their failing abilities
- B. According to the Reisberg Scale, clients in the first stage of Alzheimer's disease tend to cover up their failing abilities
- C. According to the Global Deterioration Scale, clients in the third stage of Alzheimer's disease tend to cover up their failing abilities
- D. According to the Reisberg Scale, clients in the fourth stage of Alzheimer's disease tend to cover up their failing abilities
Correct Answer: A
Rationale: The Global Deterioration Scale (A) notes denial in stage 1.