A nurse is caring for a client who states, "Whenever I have to give a presentation at my job, my vision goes really blurry and my feet go numb." Which of the following defense mechanisms is the client describing?

Displacement

Conversion

Rationalization

Identification

Answer and Explanation

The Correct Answer is B

A. Displacement: Displacement involves shifting emotions from one target to another (e.g., yelling at a coworker after being scolded by a boss).

B. Conversion: Conversion disorder is when emotional distress manifests as physical symptoms, such as blurred vision or numbness.

C. Rationalization: Rationalization is justifying behaviors or feelings with logical explanations (e.g., “I didn’t get the job because the interviewer was biased”).

D. Identification: Identification involves imitating behaviors of another person (e.g., a child mimicking a parent’s speech).

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Correct Answer is D

Explanation

A. "You only need to provide a copy to your family." While family members should have a copy, they are not the only ones who need it. Healthcare providers and legal representatives should also have access.

B. "Advance directives are not needed for individuals who have a mental illness." Clients with mental illness can and should have advance directives, especially regarding psychiatric treatment preferences.

C. "Giving you legal advice about advance directives is outside my scope of practice." While nurses cannot provide legal advice, they can educate clients on the importance of advance directives and who should receive a copy.

D. "You should provide a copy to your providers, family members, and lawyer." Advance directives should be shared with healthcare providers, family members, and legal representatives to ensure they are followed in case of a crisis.

A. Autonomy B. Justice C. Beneficence D. Nonmaleficence

Correct Answer is A

Explanation

A. Autonomy refers to a client’s right to make their own decisions regarding care. Allowing them to choose between morning and afternoon therapy respects their independence and decision-making ability.

B. Justice refers to fairness and equal treatment in healthcare. While offering a choice is ethical, it is not related to ensuring fair resource distribution.

C. Beneficence means acting in the best interest of the client to promote well-being. While giving choices can be beneficial, this scenario specifically highlights autonomy.

D. Nonmaleficence means "do no harm." While respecting choices can prevent distress, this principle is more related to avoiding harm rather than promoting independence.

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A nurse is caring for a client who states, "Whenever I have to give a presentation at my job, my vision goes really blurry and my feet go numb." Which of the following defense mechanisms is the client describing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bipolar disorder and asks the nurse, "Who should get a copy of my advance directives?" Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?

Correct Answer is A

Explanation

A group of nurses is discussing the purpose of mental health documentation. Which of the following descriptions of nursing documentation for a mental health client is accurate?

A nurse is interviewing a client who is contemplating a behavior change. According to the processes of Motivational Interviewing, which of the following client behaviors indicates that the nurse has successfully engaged with the client?

A nurse tells a patient that they will return in 30 minutes with their medication. The nurse returns 30 minutes later with the patient's medication. Which ethical principle is she demonstrating?

A nurse is caring for a client who states, "Whenever I have to give a presentation at my job, my vision goes really blurry and my feet go numb." Which of the following defense mechanisms is the client describing?

A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates and understanding of therapeutic milieu?

A nurse is reviewing ethical principles with a newly licensed nurse. The nurse should include which of the following as an ethical principle?

During what phase of the nurse-client relationship does the mutual level of trust and comfort occur? The patient is more accepting of the nurse's intervention and sees the nurse as a source of aid.

A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?