NUR 2811 Capstone Module 3 Exam
Due Jul 17 at 11:59pm Points 100 Questions 100
Available until Jul 17 at 11:59pm Time Limit None
Attempt History
Attempt Time Score
LATEST Attempt 1 18 minutes 98.5 out of 100
Score for this quiz: 98.5 out of 100
Submitted Jul 6 at 5:15pm
This attempt took 18 minutes.
Question 1 pts
The mother of a 3-year-old child tells the nurse that her child hit her doll
after the mother scolded her for picking the neighbors’ flowers. Which
defense mechanism used by the child does the nurse identify in the
mother’s report?
Sublimation
Correct! Displacement
Identification
Projection
, Rationale: The defense mechanism of displacement involves the
discharge of intense feelings for one person onto a substitute
person or object that is less threatening to satisfy an impulse.
Projection involves attributing an attitude, behavior, or impulse,
such as that which occurs in blaming or scapegoating, to someone
else. Sublimation is the act of rechanneling an impulse into a more
socially acceptable object. Identification involves modeling
behavior after someone else's.
Test-Taking Strategy: Note the subject of the question, defense
mechanisms. Focusing on the data in the question and the child’s
behavior will direct you to the correct option.
Review: these defense mechanisms .
Reference: Varcarolis, E., & Halter, M. (2009). Essentials of
psychiatric mental health nursing: A communication approach to
evidence-based care (p. 133). St. Louis: Saunders.
Level of Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Assessment
Content Area: Mental Health
Giddens Concepts: Development, Anxiety
HESI Concepts: Developmental, Mood and Affect, Stress &
Coping
Question 2 pts
A client says to the nurse, “I’ve been following my diet and taking my
medication. What else do you want to talk about today?” Which response
would be most helpful during the working phase of the therapeutic
alliance?
Correct!
“Some people have added exercise to diet and medication therapy and
gotten positive results. Do you think that this would work for you?”
, “Well, you’ve talked about diet in your terms, but perhaps I should test you
on specific things.”
“Sounds fine to me. Let’s meet again in 6 months.”
“I don’t believe that you have been following your diet, because you
haven’t lost any weight.”
Rationale: Although suggestion or overt giving of advice is
sometimes nontherapeutic, these strategies are therapeutic when
used in the working phase, because in this situation they will
increase the client’s perception of all available options in the
treatment plan. Answering, “Sounds fine to me. Let’s meet again in
6 months” stops the communication process. Stating to the client
that he or she has not lost any weight implies disbelief and does
not explore the reasons for the client’s failure to lose weight.
“Testing” challenges the client and is nontherapeutic.
Test-Taking Strategy: Note the strategic word “most” and
remember therapeutic communication techniques. Noting the
words “working phase” in the question will direct you to the correct
option.
Review: therapeutic communication techniques .
Reference: Stuart, G. (2009). Principles & practice of psychiatric
nursing (9th ed., pp. 27-31, 553). St. Louis: Mosby.
Level of Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
Content Area: Mental Health
Giddens Concepts: Communication, Health Promotion
HESI Concepts: Communication, Health Promotion
Question 3 pts
, As the nurse prepares to interview a client being admitted to the mental
health unit, the client says, “I asked my family to bring me in here to talk to
someone, but now I don’t know where to begin.” Which response by the
nurse would be most helpful?
“Don’t worry. Everyone who comes in here for the first time feels reluctant
to talk.”
Correct!
“Perhaps you can start by sharing some of your most recent concerns.”
“If I were you, I’d begin with what you were doing this morning.”
“Why not just start talking and see where it takes you?”
Due Jul 17 at 11:59pm Points 100 Questions 100
Available until Jul 17 at 11:59pm Time Limit None
Attempt History
Attempt Time Score
LATEST Attempt 1 18 minutes 98.5 out of 100
Score for this quiz: 98.5 out of 100
Submitted Jul 6 at 5:15pm
This attempt took 18 minutes.
Question 1 pts
The mother of a 3-year-old child tells the nurse that her child hit her doll
after the mother scolded her for picking the neighbors’ flowers. Which
defense mechanism used by the child does the nurse identify in the
mother’s report?
Sublimation
Correct! Displacement
Identification
Projection
, Rationale: The defense mechanism of displacement involves the
discharge of intense feelings for one person onto a substitute
person or object that is less threatening to satisfy an impulse.
Projection involves attributing an attitude, behavior, or impulse,
such as that which occurs in blaming or scapegoating, to someone
else. Sublimation is the act of rechanneling an impulse into a more
socially acceptable object. Identification involves modeling
behavior after someone else's.
Test-Taking Strategy: Note the subject of the question, defense
mechanisms. Focusing on the data in the question and the child’s
behavior will direct you to the correct option.
Review: these defense mechanisms .
Reference: Varcarolis, E., & Halter, M. (2009). Essentials of
psychiatric mental health nursing: A communication approach to
evidence-based care (p. 133). St. Louis: Saunders.
Level of Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Assessment
Content Area: Mental Health
Giddens Concepts: Development, Anxiety
HESI Concepts: Developmental, Mood and Affect, Stress &
Coping
Question 2 pts
A client says to the nurse, “I’ve been following my diet and taking my
medication. What else do you want to talk about today?” Which response
would be most helpful during the working phase of the therapeutic
alliance?
Correct!
“Some people have added exercise to diet and medication therapy and
gotten positive results. Do you think that this would work for you?”
, “Well, you’ve talked about diet in your terms, but perhaps I should test you
on specific things.”
“Sounds fine to me. Let’s meet again in 6 months.”
“I don’t believe that you have been following your diet, because you
haven’t lost any weight.”
Rationale: Although suggestion or overt giving of advice is
sometimes nontherapeutic, these strategies are therapeutic when
used in the working phase, because in this situation they will
increase the client’s perception of all available options in the
treatment plan. Answering, “Sounds fine to me. Let’s meet again in
6 months” stops the communication process. Stating to the client
that he or she has not lost any weight implies disbelief and does
not explore the reasons for the client’s failure to lose weight.
“Testing” challenges the client and is nontherapeutic.
Test-Taking Strategy: Note the strategic word “most” and
remember therapeutic communication techniques. Noting the
words “working phase” in the question will direct you to the correct
option.
Review: therapeutic communication techniques .
Reference: Stuart, G. (2009). Principles & practice of psychiatric
nursing (9th ed., pp. 27-31, 553). St. Louis: Mosby.
Level of Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
Content Area: Mental Health
Giddens Concepts: Communication, Health Promotion
HESI Concepts: Communication, Health Promotion
Question 3 pts
, As the nurse prepares to interview a client being admitted to the mental
health unit, the client says, “I asked my family to bring me in here to talk to
someone, but now I don’t know where to begin.” Which response by the
nurse would be most helpful?
“Don’t worry. Everyone who comes in here for the first time feels reluctant
to talk.”
Correct!
“Perhaps you can start by sharing some of your most recent concerns.”
“If I were you, I’d begin with what you were doing this morning.”
“Why not just start talking and see where it takes you?”
