1 :

Hint : Higher-level reasoning = abstract

Correct Answers:

  • Abstract


Rationale :

🔷 Abstract thought involves higher-level cognitive processing, allowing an individual to use logic, reasoning, and scientific problem-solving beyond what is directly observable.

🔷 Teenagers develop this ability during Piaget’s formal operational stage, enabling them to think hypothetically, analyze cause-and-effect relationships, and use systematic reasoning.

🔷 Concrete thinking is limited to tangible, observable concepts, whereas abstract thinking allows consideration of intangible or theoretical ideas.

🔷 This advanced reasoning reflects mature intellectual development in adolescence.


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2 :

Hint : Modeling behavior builds trust

Correct Answers:

  • Allow the client to observe other clients eating the same food.


Rationale :

🔶 For a paranoid client, building trust and reality orientation is essential. Allowing the client to observe others eating the same food provides reassurance through modeling and helps reduce suspicion.

🔶 This approach promotes gradual acceptance of food as safe without directly confronting the client’s delusion, which could increase paranoia.

🔶 Asking family to bring food or giving a placebo reinforces the delusion, and leaving the client alone may worsen isolation and distrust.


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3 :

Hint : Self-awareness builds identity

Correct Answers:

  • Discern his feelings about relationship choices and level of commitment.


Rationale :

🔷 Helping the client explore and understand his feelings about past and present relationship choices is essential for developing a positive personal identity.

🔷 This self-reflection allows the client to gain insight into his behavior patterns, recognize how his childhood experiences may have influenced his relationships, and begin to form a healthier self-concept.

🔷 Establishing intimate relationships or outlining life dreams are later therapeutic goals that require first understanding personal identity and internal conflicts.

🔷 Identifying emotions and motivations is a key step in promoting self-awareness and emotional growth.


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4 :

Hint : Regression = past maladaptive habits

Correct Answers:

  • Returns to previous maladaptive behavior.


Rationale :

🔷 Regression refers to reverting to earlier, less mature patterns of behavior when faced with stress, such as the termination of a therapeutic relationship.

🔷 A client who returns to previous maladaptive behaviors (e.g., substance use, withdrawal, or self-harm) demonstrates difficulty coping with the loss of therapeutic support.

🔷 This response reflects emotional dependence and the inability to apply newly learned coping strategies independently.

🔷 Other responses (helplessness, denial, or bringing up new problems) may indicate resistance or anxiety but are not specifically regressive behaviors.


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5 :

Hint : Most common in African descent

Correct Answers:

  • African Americans .


Rationale :

🔷 Sickle cell anemia is most prevalent among individuals of African descent, with approximately 1 in 365 African American births affected.

🔷 The sickle cell trait provides a survival advantage against malaria, which explains its higher prevalence in populations from malaria-endemic regions, including sub-Saharan Africa.

🔷 Although it can also occur in people of Mediterranean (e.g., Italian, Greek), Middle Eastern, and Indian ancestry, it is most common in African Americans in the U.S.

🔷 This hereditary disorder involves abnormal hemoglobin S, causing red blood cells to sickle, leading to vaso-occlusion, anemia, and pain crises.


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6 :

Hint : Listening involves attentive presence

Correct Answers:

  • Failure to listen


Rationale :

🔷 Yawning and repeatedly checking the watch are nonverbal cues that indicate disinterest or inattentiveness, which is a clear example of failure to listen.

🔷 Effective therapeutic communication requires active listening, maintaining eye contact, and showing genuine engagement with the clients’ concerns.

🔷 Such inattentive behaviors can discourage clients from sharing, reduce trust, and negatively impact the therapeutic relationship.

🔷 Failure to explore, probe, or elicit descriptions involves inadequate questioning, whereas here, the issue is the nurse’s nonverbal lack of attention.


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7 :

Hint : Empathy = feeling with client

Correct Answers:

  • Empathy .


Rationale :

🔷 Empathy is the ability to understand and share in a client’s feelings and experiences while maintaining professional boundaries.

🔷 It involves seeing the situation from the client’s perspective and communicating understanding, which fosters therapeutic rapport and trust.

🔷 Sympathy involves pity and emotional involvement, which can blur professional boundaries.

🔷 Trust is the outcome of consistent, honest interactions, and mutuality refers to shared participation in decision-making, not emotional sharing.


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8 :

Hint : Self-care deficits = priority

Correct Answers:

  • Inability to engage in self-care activities.


Rationale :

🔷 The client’s poor hygiene, dirty clothing, and visible dental neglect indicate an inability to perform basic self-care activities, which is common in schizophrenia due to impaired cognition, disorganized thinking, and lack of motivation (avolition).

🔷 This is the primary concern because self-care deficits can lead to further health complications, infections, and poor overall functioning.

🔷 While difficulty in social interactions, resistance to medication, or refusal of self-care are important, they are secondary to the immediate issue of self-care inability, which directly affects physical health.

🔷 Nursing care should prioritize assisting with basic hygiene and gradually encouraging independent self-care as symptoms stabilize.


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9 :

Hint : Orientation = set goals & roles

Correct Answers:

  • Orientation phase.


Rationale :

🔷 The orientation phase is the initial phase of the therapeutic relationship where rapport is established and a working agreement or contract between the nurse and client is developed.

🔷 This agreement includes defining roles, setting goals, and establishing boundaries, which help build trust and structure for future interactions.

🔷 The working phase focuses on implementing interventions and achieving goals, while the preparation and assessment phases occur before or during data collection, not in relationship-building.


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10 :

Hint : Plan discharge from admission

Correct Answers:

  • Upon admission.


Rationale :

🔷 Discharge planning should begin upon admission to ensure a smooth transition from the healthcare facility to home or another care setting.

🔷 Early planning allows the healthcare team to identify potential barriers, arrange necessary resources, and educate the client and family throughout the stay.

🔷 Waiting until the termination point or rehabilitation phase may delay care coordination and compromise the client’s continuity of care.

🔷 Starting early promotes continuity, safety, and better outcomes after discharge.


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Total Questions: 10

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