Nokea
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.
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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 nurse understands that crises are self-limiting. This implies that upon evaluation of crisis intervention, the nurse should assess for which outcome?
- A. The patient will identify possible causes for the crisis.
- B. The patient will discover a new sense of self-sufficiency in coping.
- C. The patient will resume the precrisis level of functioning.
- D. The patient will express anger regarding the crisis event.
Correct Answer: C
Rationale: Crises usually last 4 to 6 weeks. At resolution, the person either returns to their precrisis level of functioning, functions at a higher level, or stabilizes at a lower level. Returning to precrisis functioning is a positive outcome. Identifying causes may lead to guilt, and persistent anger at 4 to 6 weeks suggests an unfavorable outcome.
A nurse is assisting a patient who is working on the technique of systematic desensitization. When the patient feels anxious, the nurse can best use the principles of this technique by stating.
- A. Use the deep breathing techniques we practiced yesterday.
- B. What is the worst that will happen if you confront this fear?
- C. Tell me how you are feeling right now.
- D. I can see you are anxious. Let's stop for a minute.
Correct Answer: A
Rationale: Systematic desensitization involves using learned relaxation techniques, like deep breathing, to manage anxiety during exposure to fear-inducing stimuli.
A nurse is working with a patient with an eating disorder who refuses to eat a muffin. The nurse asks the patient 'Is there any way that you could see the muffin as just flour and water, basic nutrients your body needs?' In this statement, the nurse is using which type of therapy?
- A. Rational emotive therapy
- B. Cognitive therapy
- C. Gestalt therapy
- D. Reality therapy
Correct Answer: B
Rationale: Cognitive therapy focuses on altering thought patterns, like reframing the muffin as basic nutrients, to change behavior and perceptions.
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.