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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.
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Which event in the mental health care movement occurred first?
- A. Establishment of Pennsylvania Hospital
- B. Deinstitutionalization movement
- C. Formation of Committee for Mental Health
- D. Passage of Omnibus Budget Reconciliation Act (OBRA)
- E. Dorothea Dix awakens public awareness of plight of mentally ill
Correct Answer: A
Rationale: Pennsylvania Hospital-1731, Dorothea Dix-1882, Committee for Mental Health-1909, deinstitutionalization movement-1960, OBRA-1981.
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.
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.
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.
A nurse tearfully confides to the head nurse that being assigned to care for eight patients is stressful and overwhelming. What demonstrates the use of a healthy coping mechanism?
- A. Writing down long lists of needed interventions before starting the day's work
- B. Delegating appropriate care assignments to unlicensed assistive personnel
- C. Asking a coworker to take one of her patients
- D. Asking for the day off
Correct Answer: B
Rationale: The use of delegation is an effective coping mechanism. The other options are not healthy as they either delay or avoid dealing with the stress.