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.
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What is the basis for classifying a person as having a mental illness?
- A. Behavior exhibited and the context
- B. Response of society to the behavior
- C. Ability of the patient to conform
- D. Patient's history and previous behavior
Correct Answer: A
Rationale: A person is deemed to be mentally ill by the behavior exhibited and the context in which that behavior occurs.
The patient admitted to the hospital may adjust to illness by assuming a role in which everyday responsibilities are avoided. What is this role called?
- A. Patient role
- B. Illness role
- C. Sick role
- D. Dependent role
Correct Answer: C
Rationale: The sick role allows the patient to be excused from everyday responsibilities.
Which role is an example of an ascribed role?
- A. Sex
- B. Occupation
- C. Manner of dealing with stress
- D. Attitude toward homosexuality
Correct Answer: A
Rationale: Ascribed roles are those that a person takes on, but had no personal choice in the matter. Ethnicity, sex, and nationality are examples of ascribed roles.
When assisting the older adult who is despondent about the need to leave his home, what technique should the nurse use?
- A. Ask him if he has a drinking problem.
- B. Explore the option of his moving in with someone.
- C. Reminisce with the patient and review his life.
- D. Assess for hopelessness and helplessness.
Correct Answer: C
Rationale: Reminiscence and life review are effective techniques to help older adults deal with changing life circumstances.
When the patient who overeats insists that weight gain is related to retained fluids, the nurse recognizes the patient is using which defense mechanism?
- A. Compensation
- B. Rationalization
- C. Sublimation
- D. Regression
Correct Answer: B
Rationale: Defense mechanisms are unconscious reactions that offer protection to the self from stressful situations. Rationalization offers a reasonable explanation for an event rather than facing reality.
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