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1. Three years ago, Anna's dog Lucky, whom she had for 16 years, was run
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m over by a car and killed. Anna's daughter reports that since that time,
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Annahas lost weight, rarely leaves her home, and just sits and talks about
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Lucky.Anna's behavior would be considered maladaptive because:
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a. it has been more than 3 years since Lucky died
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b. her grief is too intense just over the loss of a dog
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c. her grief is interfering with her functioning
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d. cultural norms typically do not comprehend grief over the loss of a pet
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…Ans>> c.her grief is interfering with her functioning
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2. Anna states that Lucky was her closest friend, and since his death, there
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is no one who could ever replace the relationship they had. According to
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Maslow's hierarchy of needs, which level of need is not being met?
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1 m/ m52
,a. Physiological needs m
b. Self-esteem needs m
c. Safety and security needs
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d. Love and belonging needs
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…Ans>> d. Love and belonging needs mm m m m m
3. Anna's daughter notices that Anna appears to be listening to another voice
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when just the two of them are in a room together. When questioned, Anna
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admits that she hears someone telling her that she was a horrible caretaker
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for Lucky and did not deserve to ever have a pet. Which of the following
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bestdescribes what Anna is experiencing?
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a. Neurosis
b. Psychosis
c. Depression
d. Bereavement
…Ans>> b. Psychosis mm m
4. Anna, who is 72 years old, is of the age when she may have experienced
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many losses coming close together. What is this called?
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a. Bereavement overload m
b. Normal mourning m
c. Isolation
d. Cultural relativity m
…Ans>> a. Bereavement overload mm m m
5. Anna has been grieving the death of Lucky for 3 years. She is unable to take
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2 m/ m52
,care of her normal activities because she insists on visiting Lucky's grave
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daily. What is the most likely reason that Anna's daughter has put off
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seekinghelp for Anna?
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a. Women are less likely than men to seek help for emotional problems
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b. Relatives often try to normalize behavior rather than label it mental illness
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c. She knows that all older people are expected to be a little depressed
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3 m/ m52
, d. She is afraid that the neighbors will think her mother is "crazy"
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…Ans>> b. Relativesoften try to normalize behavior rather than label it mental
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m illness
6. Lucky's accident occurred when he got away from Anna while they were
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m taking a walk. He ran into the street and was hit by a car. Anna cannot
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m remember the circumstances of his death. This is an example of what defense
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mechanism?
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a. Rationalization
b. Suppressant
c. Denial
d. Repression
…Ans>> d. Repression mm m
7. A client with a history of schizophrenia is brought to the emergency de-
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m partment by police who report that she was knocking down food displays at a
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grocery store and yelling that the food is all poisoned.The client reports to the
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nurse that she has no idea why she was brought to the emergency department
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because "there is nothing wrong with me." Which of these actions by the nurse
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demonstrates good clinical judgment?
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a. Instruct the police officer that the client should be incarcerated because
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there is nothing that can be done in an emergency department
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b. Document that the client is manifesting suspicious ideation and anosog-
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nosia
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c. Ask the doctor to order gastric lavage because the client reports having
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