NURS 2872 Unit 2 Test With
Solution
Friends invite an adult diagnosed with type 2 diabetes to go on a mountain
hike next week. The adult replies, "I can't go because I don't have any hiking
shoes." In actuality, this adult fears difficulty with blood glucose
management during strenuous activity. Which defense mechanism is
evident?
a. Displacement
b. Rationalization
c. Passive aggression
d. Reaction formation - ANSWER b. Rationalization
Rationalization refers to justifying an action to satisfy the listener.
A nurse analyzes reports from four adult patients of frightening events they
encountered. Which patient's report most clearly indicates that the resulting
fear was mentally healthy?
a. "I saw a large spider crawling along my kitchen wall."
b. "I was at the mall when a gunman began firing an assault weapon."
c. "I was at home when a storm with heavy thunder and lightning lasted over
an hour."
d. "I was trapped on an elevator that stopped between floors when the
power went out." - ANSWER c. "I was at home when a storm with heavy
,thunder and lightning lasted over an hour."
While all of these situations may produce some level of fear or anxiety, the
correct response presents a scenario of imminent, specific danger.
A nursing student arrives late for a clinical experience and is not wearing the
correct attire. When the instructor privately criticizes the behavior, the
student responds, "I'm always the one who gets caught. You're going to
cause me to fail." Select the instructor's best response.
a. "Other students get caught as well."
b. "I am not trying to cause you to fail. I am here to help you."
c. "I am sorry you feel that way. I try to treat all my students equally."
d. "The requirements for this experience were discussed during our
orientation." - ANSWER d. "The requirements for this experience were
discussed during our orientation."
The student is demonstrating projection, as evidenced by not taking
responsibility for his or her own behavior and blaming the instructor for a
perception of failing. In the correct answer, the instructor avoids a defensive
response and reinforces that responsibility belongs to the student.
Select the best example of altruism.
a. After recovering from a gunshot wound, a police officer attends a local
support group.
b. After recovering from open heart surgery, an individual plays tennis three
times a week.
c. An individual who received a liver transplant volunteers at a local organ
, procurement agency.
d. An individual with a long-standing fear of animals volunteers at a
community animal shelter. - ANSWER d. An individual with a long-standing
fear of animals volunteers at a community animal shelter.
Altruism is a health defense mechanism in which emotional conflicts and
stressors are addressed by meeting the needs of others. With altruism, the
person receives gratification either vicariously or from the response of
others.
An outpatient psychiatric nurse assesses a patient diagnosed with hoarding
disorder. The patient has lost 12 pounds in the past two months, appears
disheveled, and is wearing dirty clothing with poor hygiene. What is the
nurse's priority action?
a. Review the patient's medication regimen.
b. Ask the patient, "What types of foods have you been eating?"
c. Refer the patient to a psychologist for cognitive behavioral therapy (CBT).
d. Schedule a home visit to assess the safety of the patient's living
conditions. - ANSWER d. Schedule a home visit to assess the safety of the
patient's living conditions.
Safety is the nurse's first priority. Individuals diagnosed with hoarding
disorder often live in unsafe conditions. A home visit will help to identify
whether safety is the primary concern.
A patient at a general medical clinic tells the nurse, "I have so many ailments
that I need to see six different doctors. None of them has discovered what is
really wrong with me." Which comment should the nurse offer next?
Solution
Friends invite an adult diagnosed with type 2 diabetes to go on a mountain
hike next week. The adult replies, "I can't go because I don't have any hiking
shoes." In actuality, this adult fears difficulty with blood glucose
management during strenuous activity. Which defense mechanism is
evident?
a. Displacement
b. Rationalization
c. Passive aggression
d. Reaction formation - ANSWER b. Rationalization
Rationalization refers to justifying an action to satisfy the listener.
A nurse analyzes reports from four adult patients of frightening events they
encountered. Which patient's report most clearly indicates that the resulting
fear was mentally healthy?
a. "I saw a large spider crawling along my kitchen wall."
b. "I was at the mall when a gunman began firing an assault weapon."
c. "I was at home when a storm with heavy thunder and lightning lasted over
an hour."
d. "I was trapped on an elevator that stopped between floors when the
power went out." - ANSWER c. "I was at home when a storm with heavy
,thunder and lightning lasted over an hour."
While all of these situations may produce some level of fear or anxiety, the
correct response presents a scenario of imminent, specific danger.
A nursing student arrives late for a clinical experience and is not wearing the
correct attire. When the instructor privately criticizes the behavior, the
student responds, "I'm always the one who gets caught. You're going to
cause me to fail." Select the instructor's best response.
a. "Other students get caught as well."
b. "I am not trying to cause you to fail. I am here to help you."
c. "I am sorry you feel that way. I try to treat all my students equally."
d. "The requirements for this experience were discussed during our
orientation." - ANSWER d. "The requirements for this experience were
discussed during our orientation."
The student is demonstrating projection, as evidenced by not taking
responsibility for his or her own behavior and blaming the instructor for a
perception of failing. In the correct answer, the instructor avoids a defensive
response and reinforces that responsibility belongs to the student.
Select the best example of altruism.
a. After recovering from a gunshot wound, a police officer attends a local
support group.
b. After recovering from open heart surgery, an individual plays tennis three
times a week.
c. An individual who received a liver transplant volunteers at a local organ
, procurement agency.
d. An individual with a long-standing fear of animals volunteers at a
community animal shelter. - ANSWER d. An individual with a long-standing
fear of animals volunteers at a community animal shelter.
Altruism is a health defense mechanism in which emotional conflicts and
stressors are addressed by meeting the needs of others. With altruism, the
person receives gratification either vicariously or from the response of
others.
An outpatient psychiatric nurse assesses a patient diagnosed with hoarding
disorder. The patient has lost 12 pounds in the past two months, appears
disheveled, and is wearing dirty clothing with poor hygiene. What is the
nurse's priority action?
a. Review the patient's medication regimen.
b. Ask the patient, "What types of foods have you been eating?"
c. Refer the patient to a psychologist for cognitive behavioral therapy (CBT).
d. Schedule a home visit to assess the safety of the patient's living
conditions. - ANSWER d. Schedule a home visit to assess the safety of the
patient's living conditions.
Safety is the nurse's first priority. Individuals diagnosed with hoarding
disorder often live in unsafe conditions. A home visit will help to identify
whether safety is the primary concern.
A patient at a general medical clinic tells the nurse, "I have so many ailments
that I need to see six different doctors. None of them has discovered what is
really wrong with me." Which comment should the nurse offer next?
