Solutions
A 20-year-old was sexually molested at age10 by an older man,
but can no longer remember the incident. The ego defense
mechanism in use is
- projection.
- repression.
- displacement.
- reaction-formation. Correct Answers - repression.
A bipolar client tells the nurse, "I have the finest tenor voice in
the world. The three tenors who do all those TV concerts are
going to retire because they can't compete with me." The nurse
would make the assessment that the client is displaying
- flight of ideas.
- distractibility.
- grandiosity.
- limit testing. Correct Answers - grandiosity.
A client with bulimia nervosa uses enemas and laxatives to
purge in order to maintain her weight. The imbalance for which
the nurse should assess is
- metabolic alkalosis.
- respiratory alkalosis.
- metabolic acidosis.
- respiratory acidosis. Correct Answers - metabolic acidosis.
, A man keeps his wife's clothing in the closet and bureau of his
bedroom although she has been dead for three years. This
behavior suggests the use of
- altruism.
- denial.
- undoing.
- suppression. Correct Answers - denial.
A new psychiatric technician mentions to the nurse, "Depression
seems to be a disease of old people. All the depressed clients on
the unit are over 60." The reply by the nurse that clarifies
prevalence is
- "That's a good observation. Depression does strike mostly
people over 50."
- "In fact, depression is seen in people of all ages, from
childhood to old age."
- "Depression is most often seen among the middle adult age
group."
- "The age of onset for most depressive episodes is given as
eighteen years." Correct Answers - "In fact, depression is seen
in people of all ages, from childhood to old age."
A suicidal individual calls a suicide hot line. This represents the
level of intervention classified as
- primary.
- secondary.
- tertiary.
- quartenary. Correct Answers - secondary.