A patient insistently states, "I can decipher codes of DNA just by looking at someone." Which problem is evident?

Magical thinking

Ideas of reference

Visual hallucinations

Thought insertion

Answer and Explanation

The Correct Answer is A

A. Magical thinking involves belief that one has special powers or that thoughts/actions can influence unrelated events. Claiming an ability to decode DNA by sight reflects an irrational belief in a special, unrealistic power.
B. Ideas of reference are the belief that neutral events (TV, conversations) refer specifically to oneself; that is not described here.
C. Visual hallucinations are false sensory perceptions (seeing things that aren't there); the statement describes a belief about an ability, not a sensory experience.
D. Thought insertion is the delusional belief that others are putting thoughts into one’s mind; the patient is claiming a personal ability, not externally implanted thoughts.

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Correct Answer is C

Explanation

A. While self-awareness is beneficial, the primary reason for monitoring personal feelings is to prevent bias and maintain objectivity, not only to enhance advocacy.

B. Sympathy may be natural, but unchecked positive feelings do not replace professional assessment or judgment.

C. Nurses who experience anger, frustration, or judgment toward the family or situation may misinterpret information, make biased decisions, or fail to provide appropriate support. Awareness of personal feelings helps maintain objective and effective care.

D. Strong positive feelings can still lead to boundary issues or inappropriate transference, which is not the intended goal of professional self-awareness.

A. The legal requirement for client confidentiality ceases if the client is deceased." B. "Providers are required to warn individuals if the client threatens harm." C. "Health care workers are not required to answer a court's requests for information about a client's disclosure." D. "Staff members are required to divulge information to attorneys if they call for information."

Correct Answer is B

Explanation

A. Confidentiality does not end when a client dies; healthcare professionals are still required to protect the privacy of medical records and disclosures.

B. This reflects the "duty to warn" principle (Tarasoff ruling), which legally obligates providers to take reasonable steps to protect identifiable individuals if a client poses a threat of harm. This is a recognized exception to confidentiality.

C. Healthcare workers must comply with court orders or subpoenas requesting medical information. Refusing is not legally permissible.

D. Attorneys do not automatically have access to client information; a legal order is required. Confidentiality is not broken based on an attorney’s request alone.

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A patient insistently states, "I can decipher codes of DNA just by looking at someone." Which problem is evident?

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Naxlex Comprehensive Predictor Exams

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