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.
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Which role is an example of an ascribed role?
- A. Sex
- B. Occupation
- C. Manner of dealing with stress
- D. Attitude toward homosexuality
Correct Answer: A
Rationale: Ascribed roles are those that a person takes on, but had no personal choice in the matter. Ethnicity, sex, and nationality are examples of ascribed roles.
What coping mechanism demonstrated by a patient should indicate to the nurse that the patient is seeking ways to deal with and resolve stress?
- A. Projection
- B. Adaptation
- C. Reaction formation
- D. Compensation
Correct Answer: B
Rationale: An individual who develops ways to deal with stress and resolve it has adapted.
The nurse uses a diagram to show how the four parts of 'self' fit together. What are the four parts?
- A. Body image
- B. Ego
- C. Self-esteem
- D. Role
- E. Identity
Correct Answer: A,C,D,E
Rationale: The four parts of the 'self' are body image, self-esteem, role, and identity.
A perceived threat to self causes what emotion?
- A. Fear
- B. Anger
- C. Depression
- D. Anxiety
Correct Answer: D
Rationale: Anxiety can be defined as a vague feeling of apprehension resulting from a perceived threat to self.
Using the mental health continuum as a guide, the nurse observes behavior that usually places an individual on the illness end of the continuum. What is true of this behavior?
- A. It causes extreme concern about health.
- B. It results in inability to function in society.
- C. It demonstrates that the person is out of touch with reality.
- D. It results in inability to interact with people.
Correct Answer: C
Rationale: On the illness end of the mental health continuum, the person is rarely in touch with reality.
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