A client is admitted to a psychiatric unit for treatment of a psychotic disorder. The client is at the locked exit door and is shouting. "Let me out! There's nothing wrong with me! I don't belong here!" The nurse identifies this behavior as which defense mechanism?

Denial

Regression

Projection

Rationalization

Answer and Explanation

The Correct Answer is A

A.   This is the defense mechanism where a person refuses to acknowledge a painful reality. In this case, the client is denying their illness and the need for hospitalization.
B.   This involves reverting to childlike behaviors as a way to cope with stress. It doesn't fit the scenario.
C.   This is attributing one's own unacceptable thoughts or feelings onto others. There's no evidence of this in the given situation.
D.   This involves creating excuses to justify unacceptable behavior. The client is not justifying their behavior but denying it.

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Correct Answer is A

Explanation

A. This is the most significant risk factor for suicide among adolescents. Conditions like depression, anxiety, bipolar disorder, and substance abuse can contribute to suicidal thoughts and behaviors.
B. While family issues can contribute to stress and emotional turmoil, mental health problems are more directly linked to suicide risk.
C. Social difficulties, such as bullying or isolation, can increase the risk of suicide, but they often coexist with underlying mental health conditions.
D. While chronic physical illnesses can impact mental health and overall well-being, acute physical problems are less likely to be direct precursors to suicide.

A. escalation B. recovery C. crisis D. Trigger

Correct Answer is C

Explanation

A. During escalation, individuals are experiencing increasing tension and anger but may still be able to respond to reason or directions. This is the stage where intervention is crucial to prevent the situation from worsening.
B. This phase follows the crisis and is characterized by a decrease in tension. Individuals may be more receptive to communication and reasoning at this point.
C. This is the stage where individuals have lost control, and their behavior is driven by intense emotions. They are unable to process information or respond rationally.
D. The trigger is the initial event that sets off the cycle. While it can lead to escalating emotions, it doesn't necessarily prevent individuals from listening or engaging mentally.

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A client is admitted to a psychiatric unit for treatment of a psychotic disorder. The client is at the locked exit door and is shouting. "Let me out! There's nothing wrong with me! I don't belong here!" The nurse identifies this behavior as which defense mechanism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Adolescents are at greater risk for committing suicide if they have __________ problems.

Correct Answer is A

Explanation

In the assault cycle, people are unable to listen to reason, follow directions, or engage in mental exercises during the stage of

Correct Answer is C

Explanation

Which are facts about suicide? (Select all that apply.)

What is the primary focus of mental health promotion programs?

When practicing therapeutic communication with a client, the nurse demonstrates which of the following listening skills?

A nurse is assisting with the development of a community health education class about suicide prevention. Which of the following information should th nurse identify as risk factors for suicide? (Select all that apply.)

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?

Which client would be a candidate for Electroconvulsive Therapy (ECT)?

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 nurse is preparing to change the dressing on the lower leg of an older adult client who is in a wheelchair, and has a history of maladaptive coping skills. The client begins swearing at and verbally abusing the nurse. Which of the following actions should the nurse to take?