Nokea
The patient complains to the nurse that the health care provider does not like him and wants him to fail at following the diet prescribed. The nurse recognizes that the patient is using which defense mechanism?
- A. Conversion
- B. Projection
- C. Introjection
- D. Repression
Correct Answer: B
Rationale: Projection is attributing to other's characteristics that the person does not want to acknowledge.
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How should the nurse document the behavior of a patient with mental illness?
- A. Very disruptive to a person in society
- B. Differing from socially acceptable behavior
- C. Causing the person to be involved in problems
- D. Resulting from an inability to exercise control
Correct Answer: B
Rationale: Mental illness can cause behavior that deviates from socially and culturally acceptable behavior.
What is the mental health nurse referring to when using the term behavior?
- A. An isolated incident
- B. The manner in which a person performs
- C. A product of a coping strategy
- D. Failure to adapt
Correct Answer: B
Rationale: Behavior may be defined as the manner in which a person performs any or all of the activities of daily living.
When developing a care plan for a mentally ill patient, what should the nurse assess first?
- A. Coping strategies
- B. Emotional status
- C. Medications taken
- D. Nutritional status
Correct Answer: B
Rationale: The nurse's first priority would be to assess the emotional status of the mentally ill patient.
What action consistently done by a patient should indicate to a nurse that the patient has a poor self-concept?
- A. Wears bright-colored clothing.
- B. Demands the attention of staff.
- C. Apologizes to others repeatedly.
- D. Becomes angry when frustrated.
Correct Answer: C
Rationale: Apologizing repeatedly is indicative of self-effacement. Anger, demanding attention, and wearing attention-getting clothing are not characteristics of a poor self-concept.
A variety of factors influence the level of anxiety experienced by the patient faced by a stressful situation. Which would the nurse outline?
- A. How others perceive the event
- B. The number of stressors present at one time
- C. Degree of change the stressors require
- D. Present role assumption
- E. Previous experience with a similar situation
Correct Answer: B,C,D,E
Rationale: The number of stressors present at one time, the degree of change the stressors require, present role assumption, and previous experience with a similar situation are all factors that can influence the level of anxiety experienced when faced with a stressful situation. The level of anxiety experienced is also influenced by how the event is perceived by the individual, not how the event is perceived by others.