g x g x g x g x gx gx g x gx g x
Identical twins should share the same tempera
3.
gx gx gx gx gx gx gx
ment and respond similarly to stress. gx g x g x g x gx
Environmental influences to stress weigh m
4.
gx gx gx gx gx gx
ore heavily than genetic influences. gx gx gx vs
4. Which client should the nurse anticipate to be mo gx gx gx gx gx gx gx gx g
s t receptive to psychiatric treatment?
x gx gx gx gx gx
1. A Jewish, female social worker. gx g x gx g x g x gxgx
2. A Baptist, homeless male. gx gxgx g x
3. A Catholic, black male. gx g xgx g x g x
4. A Protestant, Swedish business executi gx g x g x gx g x g x g x
ve.
5. A psychiatric nurse intern states, “This client’s use of defen
gx gx gx gx gx gx gx gx gx
s e mechanisms should be eliminated.” Which is a correct evaluation of this nurs
vg x gx gx gx gx gx vs gx gx gx gx gx gx
e’s st ate ment?
gx gx gx
Defense mechanisms can be appropriate respon gx gx gx gx gx g
1. ses to stress and need not be x gx gx gx gx vs gx
eliminated.
Defense mechanisms are a maladaptive atte gx gx gx vs gx gx
2. m pt of the ego to manage anxiety and gx vs gx gx gx gx gx gx
should always be eliminated. g x g x g x
Defense mechanisms, used by individuals w gx gx gx gx gx
3. i t h weak ego integrity, should be gx gx vs vs gx gx
discouraged and not eliminated. gx gx g x g x gxgx
Defense mechanisms cause disintegration of
gx gx gx gx
4. t he ego and should be fostered and enco
gx gx gx gx gx gx gx gx gx
uraged.
6. During an intake assessment, a nurse asks both physiologi
gx gx gx gx gx gx gx gx
c al and psychosocial questions. The client angrily responds, “I’m here for my
gx gx vs gx gx gx gx gx gx gx gx gx g
xheart
, not my head problems.” Which is the nurse’s best response?
gx gx gx gx gx gx gx gx gx gx
“It is just a routine part of our assessment. Al gx gx gx bn gx gx gx gx gx
1. l c lients are asked these same gx gx gx gx gx
questions.”
“Why are you concerned about these
2.
g x g x g x g x g x g
type s of x gx gx
questions?”
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, “Psychological factors, like excessive stress, ha gx gx gx gx gx vs
3. ve been found to affect medical
g x gx gx gx gx gx
conditions.”
“We can skip these questions, if you like. It i s
gx gx gx gx gx gx vs gx gx gx
4. n’ t imperative that we complete this
gx gx gx gx gx gx
section.”
7. An employee uses the defense mechanism of displacement
gx gx gx gx gx gx gx gx
w h en the boss openly disagrees with suggestions. What behavior would be expect
gx gx vs gx gx gx gx gx gx gx gx gx gx
ed fr o m this
gx gx employee?
gx vs
1. The employee assertively confronts the g x g x g x g x
b oss g x g x
.
The employee leaves the staff meeting to w
2.
gx gx gx gx gx gx gx gx
ork out in the gym. gx gx gx gx
3. The employee criticizes a coworker. g x g x g x g x
4. The employee takes the boss out t g x g x g x g x g x g x
o lunc h. g x gx
8. A fourth- gx
grade boy teases and makes jokes about a cute girl in his class. This behavior sh
gx gx gx gx gx gx vs gx gx gx gx gx gx gx gx
g xo ul d be identified by a nurse as indicative of which defense mechani
gx g x g x gx g x gx g x g x gx g x g x g x gx
sm?
1. Displacement
2. Projection
3. Reaction formation g x g x
4. Sublimation
9. Which g x nursing g x statement g x about g x the g x concept g x of g x neurosis g x is g x most
accurate?
An individual experiencing neurosis is unaw
gx gx gx gx gx
1. a re that he or she is experiencing
gx gx gx gx gx gx gx gx
distress.
An individual experiencing neurosis feels
2.
g x g x g x g x gx
he l pless to change his or her situation.
g x gx gx gx gx gx gx gx
An individual experiencing neurosis is aware o
gx gx gx gx vs gx
3. f the psychological causes of his or
gx gx gx gx gx gx gx
her behavior. g x
An individual experiencing neurosis has a l o
gx gx gx gx gx gx gx
4.
ss of contact with reality.
gx gx gx gx gx
10. Which g x g x nursing statement regarding g x g x the concept of g x g x psychosis is most
accurate?
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, Individuals experiencing psychoses are aware
1.
gx gx g x gx g
t hat their behaviors are maladaptive.
x gx gx gx gx gx
Individuals experiencing psychoses experie
2.
g x g x gx
n ce little distress.
gx
Individuals experiencing psychoses are awa gx gx gx gx
3. r e of experiencingpsychological
gx gx gx
problems.
Individuals experiencing psychoses are based gx gx g x gx gx
4.
i n reality.
gx gx
11. When under stress, a client routinely uses alcohol to exce g x g x g x g x g x g x g x g x g x
ss. Fi nding her drunk, her husband yells at the client about her chronic alcohol abu
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx
se. Whic h action alerts the nurse to the client’s use of the defense mechanism of
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx
deni a gx
l?
1. The client hides liquor bottles in a g x g x g x g x g x g x g
closet. x
The client yells at her son for slouching in his c
2.
gx gx gx vs gx gx gx gx gx gx
h air. gx
3. The client burns dinner on purpose. g x g x g x g x g x
The client says to the spouse, “I don’t drink
4.
gx gx gx gx gx gx gx gx gx
too much!” gx
12. Devastated by a divorce from an abusive husband, a w gx gx gx gx gx gx gx gx gx
if
g x gx gx e completes grief counseling. Which statement by the wife should indic
gx gx gx gx gx gx gx gx gx vs
ate to a gx gx
nurse that the client is in the acceptance stage of grief?
gx g x g x gx g x gx g x g x g x g x
“If only we could have tried again, things m ig
1.
gx gx gx gx gx gx gx gx gx
h t have worked out.” gx gx gx gx
“I am so mad that the children and I had to gx gx gx gx gx gx gx gx gx gx
2.
vs
p ut up with him as long as we did.” gx gx vs gx gx gx gx gx gx
“Yes, it was a difficult relationship, but I t
3.
gx g x gx gx gx gx gx gx
hi nk I have learned from the experience.” gx gx gx gx gx gx gx
“I still don’t have any appetite and continue to
4.
gx gx gx gx gx gx gx gx gx
l ose weight.” gx gx
13. A nurse is performing a mental health assessment on an adult client.
gx gx gx gx vs gx gx gx gx gx vs g
x A c cording to Maslow’s hierarchy of needs, which client action would demonstrate
gx gx gx gx gx gx gx gx gx gx gx gx gx
the hig h est achievement in terms of mental health?
gx gx gx vs gx gx gx gx gx
Maintaining a long- gxgx g x
1.
term, faithful, intimate relationship g x gxgx gx
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