Nokea
When the patient is told that his insurance will no longer pay for his physical therapy, the nurse is aware that this obstruction to his goal may result in which concept?
- A. Conflict
- B. Adaptation
- C. Frustration
- D. Anxiety
Correct Answer: C
Rationale: Frustration refers to anything that interferes with goal-directed activity.
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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 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.
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.
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.
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).