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Quiz Week 2
Terms in this set (20)
Question 1. Which statement made by the client indicates that his or her coping strategy in a time of grief is maladaptive?
1. "I will never be able to be happy again."
2. "I manage my hostile feelings by listening to music."
3. "I try to find the reasons of
failure whenever I experience it."
4. "I do breathing exercises to rejuvenate myself after heavy work."
1
A client claiming that he or she will never be happy again is an exaggeration or overreaction. When grief is prolonged or distorted and exaggerated, coping is considered to be maladaptive.
Question 2. The parent of a client who is HIV positive tells the nurse, "My son is not interested in seeing his
friends or going out. Honestly, I am still not convinced that he is HIV positive." Which diagnosis made by the nurse will help to create an effective care plan for the parent and client?
1. The client is depressed and the parent is in denial.
2 The client is showing acceptance and the parent is in denial.
3. The client is showing acceptance and the parent is bargaining.
4. The client is depressed and the parent is showing acceptance
1
The client is not involved in any daily activities and is choosing to remain alone, which indicates that the client is depressed. The parent of the client is unable to accept that the client is ill, which indicates that the parent is experiencing denial.
Question 3. The parents of a 10-year-old child are informed that the child is in the terminal stage of acute lymphocytic leukemia. Which characteristics of the parents indicate that they are in the
acceptance stage of grief?
1. Being sad but determined to spend meaningful last days with their child, letting her know their love
2. Insisting that no one is telling the truth
3. Delaying consent for treatment and procedures
4. Asking no questions about treatment or prognosis
1
The parents being sad is natural but the fact that they are focusing on using the time left to love their child indicates that they are in the acceptance stage of grief.
Question 4. Which biological response occurs at the initial stage of stress during "fight or flight" syndrome?
1. Lipogenesis
2. Constriction of pupils
3. Increase in intestinal motility
4. Increase in lacrimal secretions
4
The hypothalamus stimulates the sympathetic nervous system, which innervates the lacrimal glands. Therefore, lacrimal secretions increase during stress.
Question 5. A psychiatric client claims to be the messenger of God, drapes himself in a blanket, "performs miracles" on other clients, and refuses to respond unless addressed as Jesus Christ. Which type of ego defense mechanism does the nurse suspect in this client?
1. Introjection
2. Projection
3. Regression
4. Repression
1
The client believes and values Jesus Christ. So, the client behaves as Jesus and does the same activities associated with Jesus Christ. Therefore, the client is showing the introjection defense mechanism.
Question 6. The nurse is providing emergency care to a client who is a victim of a fire accident. While assessing vital signs, the nurse finds the respiratory rate of 32 breaths/min and a heart rate of 120 beats per minute. Which stage of anxiety does the nurse suspect in the client?
1. Mild
2. Panic
3. Severe
4.
Moderate
3
Since the client is a victim of a fire accident, the central nervous system is overstimulated, resulting in severe anxiety. Tachycardia and hyperventilation are symptoms of severe anxiety.
Question 7. A client who was assaulted explains the situation in detail to the nurse without any emotion. Which defense mechanism does the nurse suspect in this client?
1. Isolation
2. Compensation
3.
Displacement
4. Denial
1
Isolation is separating a thought or memory from the feeling, tone, or emotion associated with it.
Question 8. Which hormone plays an important role in maintaining the basic metabolic rate?
1. Vasopressin
2. Growth hormone
3. Thyrotropic hormone
4. Adrenocorticotropic hormone
3
The hypothalamus stimulates the pituitary gland, which releases thyrotropic hormone. This hormone stimulates the thyroid gland. The thyroid gland plays an important role in maintaining the basic metabolic rate.
Question 9. A client with mild anxiety tells the nurse, "I am disabled and unable to participate in sports. However, I am a great scholar." Which ego defense mechanism does the nurse suspect in this client?
1. Compensation
2. Isolation
3. Identification
4.
Intellectualization
1
Physical disability is the perceived weakness of the client. This weakness of the client is compensated by becoming a great scholar. This indicates that the client is utilizing the compensation type of ego defense mechanism.
Question 10. Which biological responses occur at the sustained response stage of stress during the "fight or flight" response? Select all that apply.
1.
Decreased fluid retention
2. Decreased immune response
3. Decreased retention of sodium
4. Decreased inflammatory response
5. Decreased basal metabolic rate (BMR)
2, 4
Glucocorticoids are released by the adrenal cortex during stress. These glucocorticoids decrease immune responses.
Inflammatory response decreases during stress due to the release of glucocorticoids from the adrenal cortex.
Question
11. Which symptoms are commonly observed in a client with psychosis? Select all that apply.
1. Delusions
2. Obsessions
3. Hallucinations
4. Hypochondriasis
5. Disorganized speech
1, 3, 5
Delusions are a common characteristic seen in a client with psychosis.
Hallucination is the most common symptom in the client with psychosis.
The client with psychosis shows disorganized speech or behavior.
Question
12. A client tells the nurse, "I drink because it's the only way I can deal with my bad marriage and my worse job." What does the nurse understand from the client's statement?
1. The client is showing a sublimation type of ego defense mechanism.
2. The client is showing a repression type of ego defense mechanism.
3. The client is showing the undoing type of ego defense mechanism.
4. The client is showing the rationalization type of ego defense mechanism.
4
The client is trying to justify the unacceptable behavior, which is drinking. According to the client, the reasons for drinking are bad marriage and worse job. This justification indicates the rationalization type of defense mechanism.
Question 13. The nurse is caring for a child who has a terminal illness. The nurse informs the child's parents about the impending death of the child. Which type of grief does the nurse initially find in the
parents?
1. Denial
2. Bargaining
3. Acceptance
4. Anticipatory grief
4
Anticipatory grief is the initial stage of grief where the parents of the child experience knowing the child's condition and show increased concern for the child.
Question 14. Which statement by the client may indicate a sublimation type of defense mechanism to overcome anxiety?
1. "I used my aggressive and competitive
drive to become a star kickboxer."
2. "I don't want to think about that situation now. I'll think about that tomorrow."
3. "I yelled at my spouse because I had a bad day at the office. I should buy my spouse roses."
4. "I curl up in a fetal position in the bed and sleep for long periods when I am depressed."
1
The client who uses a sublimation defense mechanism rechannels personally or socially unacceptable impulses into activities that are constructive. The client uses aggressive behavior in kickboxing to become a star.
Question 15. Which stage of anxiety is associated with incoherent speech and ineffective communication?
1. Mild
2. Panic
3. Severe
4. Moderate
2
The panic stage of anxiety is characterized by a severe state of psychological stress. The client will have incoherent speech and ineffective communication during this stage of anxiety.
Question 16. To find relief from anxiety, a client tells the nurse, "Sorry, I did not take my medication today; my mother did not remind me to take it." Which defense mechanism does the nurse suspect from the client's statement?
1. Denial
2. Projection
3. Introjection
4. Rationalization
2
The client who uses projection passes the blame of undesirable feelings to another person.
Question 17. The nurse is teaching a group of student nurses about disorders in which the characteristic symptoms are manifested as physical symptoms. Which disorders does the nurse include in the teaching plan? Select all that apply.
1. Panic disorder
2. Factitious disorder
3. Conversion disorder
4. Separation anxiety disorder
5. Dissociative identity disorder
2, 3
Somatic symptom
disorders are the disorders in which the characteristic symptoms are physical symptoms. Factitious disorder is a somatic symptom disorder. Therefore, the nurse includes this disorder in the teaching plan.
Conversion disorder is a somatic symptom disorder. Therefore, the nurse includes this disorder in the teaching plan.
Question 18. Which characteristic does the healthy or self-actualized individual exhibit, according to Maslow?
1.
Creativeness
2.Enculturation
3. A degree of conformance
4. Desire for companionship
1
According to Maslow, a healthy or self-actualized individual possesses creativeness.
Question 19. Which physical characteristics may be noticed in a client with severe anxiety? Select all that apply.
1. Palpitations
2. Headaches
3. Diaphoresis
4. Insomnia
5. Inability to verbalize
1, 2, 4
Palpitations are a common symptom of patients with severe anxiety not commonly seen in patients with mild or moderate anxiety
Headaches are a physical symptom that is commonly seen in the client with severe anxiety.
Insomnia is a common physical symptom of patients with severe anxiety
Question 20. Which characteristics would the nurse expect to find in a patient with neurosis? Select all that apply.
1.
They feel helpless to change their situation.
2. They experience loss of contact with reality.
3. They are aware that they are experiencing distress.
4. They are aware that their behaviors are maladaptive.
5. They are aware of any possible psychological causes of the distress.
1, 3, 4
Neuroses are psychiatric disturbances, characterized by excessive anxiety that is expressed directly or altered through defense mechanisms. Clients with neuroses
feel helpless to change their situations.
Clients with neuroses are aware that they are experiencing distress.
Clients with neuroses are unaware of any possible psychological causes of the distress.
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