1. A mother abuses her children and tells the caseworker that it’s her husband who abuses the
children, even though it has been proven that he’s a dutiful father. Which defense mechanism is
the mother using?
a. Projection
i. Projection is attributing feelings or impulses unacceptable to oneself to another
person. The mother in the question is projecting her unacceptable behavior
onto her husband.
2. Which nursing statement about the concept of neurosis is most accurate?
a. An individual experiencing neurosis feels helpless to change his or her situation
i. A client experiencing neurosis is experiencing excessive anxiety and therefore
feels helpless to change their situation.
3. Which statement should a nurse identify as correct regarding a client’s right to refuse treatment?
a. Professionals can override treatment refusal by actively suicidal or homicidal client
i. The nurse should understand that healthcare professionals can override
treatment refusal when a client is actively suicidal or homicidal and since this is
an emergency situation, treatment may be performed without the patient’s
consent.
4. Which statement regarding the concept of psychosis is most accurate?
a. Individuals experiencing psychosis experience little distress
i. The nurse should understand that the client with psychosis experience little
distress owing to his or her lack of awareness od reality.
5. A client who has attempted suicide by overdose of pills is brought into the ER by police for
treatment. She is admitted to the psychiatric unit, even though she states she does not want to
stay. This procedure is referred to as:
a. Emergency involuntary evaluation
i. The nurse should recognize that emergency admissions are generally conducted
under Florida’s Baker Act Law and are generally against the patient’s will and
result in an evaluation period, generally up to 72 hours.
6. According to Maslow’s hierarchy of needs, which situation on an inpatient psychiatric unit would
require priority intervention by a nurse?
a. A client exhibiting aggressive behavior toward another client
i. The nurse should immediately intervene when a client exhibits aggressive
behavior toward another client. Safety and security are lower-level needs
according to Maslow’s hierarchy of needs and must be fulfilled before other
higher-level needs can be met.
7. After disturbing the peace, and aggressive, disoriented, unkempt, homeless individual is
escorted to an emergency department. The client threatens suicide. Which of the following
criteria would enable a physician to consider involuntary hospitalization? (Select all that apply)
a. -Being dangerous to others
-Being gravely disabled and unable to meet basic needs
-Being suicidal
i. Clients that are dangerous to others, gravely disabled, or suicidal would be
criteria for an involuntary hospitalization and evaluation.