Nursing 1015C Nclex Module 3 Exam

2. 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? A. Projection B. Sublimation C. Displacement Correct D. Identification 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 Awarded 100.0 points out of 100.0 possible points. 3. 2.ID: 81 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? A. “Sounds fine to me. Let’s meet again in 6 months.” B. “I don’t believe that you have been following your diet, because you haven’t lost any weight.” C. “Well, you’ve talked about diet in your terms, but perhaps I should test you on specific things.” D. “Some people have added exercise to diet and medication therapy and gotten positive results. Do you think that this would work for you?” Correct 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