A nurse is conducting a group session in the behavioral health unit for three clients on the topic of anxiety. The nurse determines that the session was successful based on which statement by the clients?

"Fear is feeling threatened by an unknown entity."

"Anxiety and fear are the same."

"Anxiety is always harmful and not productive in my life."

"Anxiety cannot be completely eliminated from my life."

Answer and Explanation

The Correct Answer is D

Choice A reason: The statement about fear being a response to an unknown threat is a common perception, but it does not reflect an understanding of anxiety as a broader concept.

Choice B reason: While anxiety and fear are related, they are not the same; fear is a response to a known or understood threat, whereas anxiety is often more diffuse and not tied to a specific stimulus.

Choice C reason: This statement reflects a negative view of anxiety and does not acknowledge that anxiety can sometimes be a normal and even productive response to stress.

Choice D reason: Recognizing that anxiety is a natural part of life and cannot be completely eliminated reflects an understanding of anxiety as a normal human emotion and is indicative of a successful education session.

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Correct Answer is B

Explanation

Choice A reason: Conversion involves expressing psychological distress through physical symptoms, which is not indicated in this scenario.

Choice B reason: Projection is a defense mechanism where an individual attributes their own unacceptable thoughts or feelings to someone else. In this case, the student is projecting their feelings of inadequacy or frustration onto the teacher and the course.

Choice C reason: Undoing is a defense mechanism where an individual attempts to take back an unconscious behavior or thought that is unacceptable or hurtful. This is not demonstrated by the student's behavior.

Choice D reason: Regression is a return to earlier stages of development and abandoned forms of gratification belonging to them, induced by stress. Berating the teacher does not indicate a regression but rather a projection of the student's feelings.

A. Because of the client's cognitive deficits, a signed consent is waived. B. Because informed consent is required for ECT, cognitive deficits could preclude this option. C. Because the client is extremely suicidal, ECT is an appropriate option. D. Because antidepressant medications have been ineffective, ECT is a good alternative.

Correct Answer is B

Explanation

Choice A reason:

Informed consent is a critical component of many medical treatments, including ECT. It involves the patient's understanding and agreement to the procedure after being fully informed of the risks, benefits, and alternatives. Cognitive deficits can impair a patient's ability to provide informed consent, but they do not automatically waive the requirement for such consent. In fact, additional safeguards are often put in place to protect the rights of individuals with cognitive impairments.

Choice B reason:

ECT is a medical procedure that requires informed consent due to the potential risks and side effects associated with it. If a client has cognitive deficits severe enough to impact their decision-making capacity, they may not be able to provide informed consent. In such cases, treatment options would need to be reconsidered, and alternative methods of obtaining consent, such as through a legal guardian or a court order, might be necessary.

Choice C reason:

While it is true that ECT is considered an effective treatment for severe depression and suicidality, the decision to use ECT should not be based solely on these criteria². The ability of the client to understand and consent to the treatment is also a crucial factor. Therefore, the extremity of the client's suicidal ideation alone does not make ECT automatically the appropriate option without considering the consent issue.

Choice D reason:

ECT is indeed an alternative treatment when antidepressant medications have been ineffective, especially in cases of severe depression and suicidality². However, the effectiveness of ECT does not negate the need for informed consent. The client's cognitive ability to provide consent remains a determining factor in the feasibility of ECT as a treatment option.

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A nurse is conducting a group session in the behavioral health unit for three clients on the topic of anxiety. The nurse determines that the session was successful based on which statement by the clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends the session berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms?

Correct Answer is B

Explanation

A client with cognitive deficits is extremely suicidal and has not responded to antidepressants. The treatment team is considering electroconvulsive therapy (ECT). Which client information would impact the feasibility of this treatment option?

Correct Answer is B

Explanation

A nurse is working with clients diagnosed with personality disorders. Which techniques would be most important for the nurse to use to effectively deal with the frustration in providing care to this group of clients? Select all that apply.

The nurse is providing education for a client to improve mental and emotional health and influence the client's response to illness. Which statement made by the client indicates that the education is effective? (Select all that apply.)

A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?

A nurse in an acute care mental health facility is preparing to administer morning medication to a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? Select all that apply.

The nurse is creating a plan of care for a client with somatic symptom disorder. Which long-term treatment outcomes for this client will be most achievable and measurable? (Select all that apply.)

A nurse is preparing to assist with electroconvulsive therapy (ECT). Which of the following pieces of equipment should the nurse set up in the room prior to the treatment? (Select all that apply.)

A nurse is assessing a client who has illness anxiety disorder. Which of the following findings should the nurse expect?