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A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. What other feelings may the patient have that should be recognized?
- A. Isolation
- B. Suicidal ideation
- C. Fear
- D. Anger
Correct Answer: B
Rationale: Hopelessness and helplessness can lead to possible thoughts of suicide.
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Using Freud's personality theory, what action by a patient identifies the influence of the superego?
- A. Eating an entire chocolate pie
- B. Becoming anxious about having no visitors
- C. Monopolizing the attention of the health care provider
- D. Returning a $5 bill that another patient left on the table
Correct Answer: D
Rationale: The superego is the mediator between right and wrong (the conscience).
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.
Using Freud's personality theory, what action by a patient indicates a strong ego?
- A. Laughs at himself for being foolish.
- B. Continually boasts of his accomplishments.
- C. Apologizes continually.
- D. Insists that the TV channel stay tuned to CNN.
Correct Answer: A
Rationale: Ego is the reality tester. Laughing at oneself shows that the patient can compare his own foolish behavior to the norm.
The situation in which a parent must choose between attending a daughter's ballet recital or a son's baseball game is an example of a
Correct Answer: conflict
Rationale: Conflict occurs when there is a presence of simultaneous goals, only one of which can be met.
The nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen. Based on this data alone, how should the nurse identify the patient's level of anxiety?
- A. Mild
- B. Moderate
- C. Severe
- D. Panic
Correct Answer: C
Rationale: Severe anxiety may be manifested by elevated blood pressure, pulse, and respiratory rate, a feeling of impending danger, and feelings of fatigue.