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A nurse is meeting with a crisis support group. In efforts to help patients identify with one another, the nurse explains which of the following about the crisis experience?
- A. Even happy events can cause a crisis if the stress is overwhelming.
- B. Only people who have unfortunate life events will experience a crisis.
- C. A person has no control over how a crisis will affect him or her.
- D. People can prevent all crises if they develop good coping skills early.
Correct Answer: A
Rationale: Crises can arise from both positive and negative events, like marriage or loss, when stress overwhelms coping abilities. Not all crises stem from negative events, individuals have some control through coping, and not all crises can be prevented.
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A patient who has been working on controlling impulsive behavior shows a strengthening ego through which of the following behaviors?
- A. Going to therapy only when there is nothing more desirable to do
- B. Weighing the advantages and disadvantages before making a decision
- C. Telling others in the group the right way to act
- D. Reporting having fun at a recent social event
Correct Answer: B
Rationale: The ego mediates between the id's impulsive desires and the superego's moral constraints. Weighing advantages and disadvantages before deciding reflects mature, adaptive ego functioning, unlike the other options which indicate impulsivity, control, or unrelated social behavior.
Group members are actively discussing a common topic. Members are sharing that they identify with what others are saying. The nurse leader recognizes that the group is in which stage of group development?
- A. Planning
- B. Initial
- C. Working
- D. Termination
Correct Answer: C
Rationale: The working stage of group development involves active engagement and sharing among members, focused on the group's purpose, as described.
A teenaged client is playing a video game when the nurse says it is time to go to sleep. The teen says angrily, 'You sound just like my mother at home!' and continues to play the video game. The nurse understands that this statement likely indicates
- A. The need of firm limit-setting
- B. Transference
- C. Ineffective parenting
- D. A personality disorder
Correct Answer: B
Rationale: Transference occurs when a client projects attitudes or feelings from past relationships, such as those with a parent, onto the therapist. The teen's reaction reflects this dynamic, not necessarily ineffective parenting, a disorder, or the need for limit-setting.
The nurse is assessing a client who is talking about her son's recent death but who shows no emotion of any kind. The nurse recognizes this behavior as which of the following defense mechanisms?
- A. Dissociation
- B. Displacement
- C. Intellectualization
- D. Suppression
Correct Answer: C
Rationale: Intellectualization involves discussing a painful event factually without expressing associated emotions, as seen in the client's behavior. Dissociation, displacement, and suppression involve different coping mechanisms.
The family members of a patient with bipolar disorder express frustration with the unpredictable behaviors of their loved one. Which group should the nurse suggest as most helpful to this family?
- A. Family therapy group
- B. Family education group
- C. Psychotherapy group
- D. Self-help support group
Correct Answer: B
Rationale: Family education groups provide knowledge and coping skills for families dealing with mental illness, addressing their frustration with unpredictable behaviors.