A 40-year-old patient cries and has a tantrum when the health care provider refuses to give her a prescription for diet pills. The nurse realizes that this is the use of which defense mechanism?
- A. Compensation
- B. Denial
- C. Regression
- D. Repression
Correct Answer: C
Rationale: Regression is a behavior that reflects the return to an earlier form of coping.
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A family is informed that the brain damage to their daughter is irreversible. The father is later overheard making vacation plans and discussing what the family will do when his daughter leaves the hospital. The nurse recognizes the father is in which crisis stage?
- A. High anxiety
- B. Denial
- C. Reconciliation
- D. Adaptation
Correct Answer: B
Rationale: The father is exhibiting signs of denial. Once the reality of the situation becomes evident, anger and confusion follow.
The majority of people function in a relatively healthy manner. What can diminish their functional capacity?
- A. Lack of a support system
- B. Periods of crisis
- C. Nutritional deficits
- D. A physical disease process
Correct Answer: B
Rationale: Periods of crisis can decrease functional capacity, moving a person toward the illness end of the continuum.
The patient admitted to the hospital may adjust to illness by assuming a role in which everyday responsibilities are avoided. What is this role called?
- A. Patient role
- B. Illness role
- C. Sick role
- D. Dependent role
Correct Answer: C
Rationale: The sick role allows the patient to be excused from everyday responsibilities.
Which theorist believed that personality development was based on task mastery?
- A. Sigmund Freud
- B. Erik Erikson
- C. Jean Piaget
- D. Friedrich Nietzsche
Correct Answer: B
Rationale: Erik Erikson provided a framework for understanding personality development in terms of task mastery. Sigmund Freud described personality development as having three parts: id, ego, and superego. Jean Piaget theorized that development was based on how humans acquire and utilize knowledge. Friedrich Nietzsche's theories had more to do with morality than personality development.
A nurse tearfully confides to the head nurse that being assigned to care for eight patients is stressful and overwhelming. What demonstrates the use of a healthy coping mechanism?
- A. Writing down long lists of needed interventions before starting the day's work
- B. Delegating appropriate care assignments to unlicensed assistive personnel
- C. Asking a coworker to take one of her patients
- D. Asking for the day off
Correct Answer: B
Rationale: The use of delegation is an effective coping mechanism. The other options are not healthy as they either delay or avoid dealing with the stress.
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