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A nurse is planning a teaching for a group of clients about defense mechanisms. Which of the following information should the nurse include? (Select All that Apply.)

Defense mechanisms and coping strategies are the same and can be used interchangeably.

Defense mechanisms help a client positively deal with their stress.

Individuals develop certain defense mechanisms based on neurological and psychological growth as they age.

Maladaptive defense mechanisms have been shown to improve mental well-being.

Adaptive defense mechanisms help a person to accept a situation and transform it into something less stressful.

Adaptive defense mechanisms are typically seen in individuals with mature functioning.

Answer and Explanation

Correct Answer : C,E,F

Rationale:

A. Defense mechanisms and coping strategies are not the same. Defense mechanisms are unconscious processes used to protect the individual from anxiety and internal conflicts, while coping strategies are conscious efforts to handle stress.

B. Defense mechanisms can be maladaptive and may not always help clients positively deal with stress. They can sometimes hinder adaptive functioning.

C. Defense mechanisms are indeed influenced by neurological and psychological growth. As individuals age, they develop more sophisticated and adaptive mechanisms.

D. Maladaptive defense mechanisms do not improve mental well-being; instead, they can often worsen mental health and impair functioning.

E. Adaptive defense mechanisms, such as sublimation and rationalization, help individuals manage stress more effectively and transform challenges into manageable situations.

F. Adaptive defense mechanisms are characteristic of more mature psychological functioning, reflecting a higher level of emotional resilience and coping.

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Correct Answer is D

Explanation

Rationale:

A. High energy is typically not associated with burnout; in fact, energetic individuals might be better equipped to handle the demands of the job.

B. Consistent self-care is a protective factor against burnout, not a cause of it.

C. Connecting well with others can be a strength that helps in managing job stress and reducing burnout.

D. Compassion fatigue, a form of burnout specifically related to emotional exhaustion from caring for others, is a significant risk factor for experiencing burnout in mental health settings.

A. Boundaries B. Relapse C. The SE model D. Stigma

Correct Answer is B

Explanation

Rationale:

A. Boundaries refer to maintaining professional limits in the nurse-client relationship, which is not directly related to the cause of hallucination exacerbation.

B. Relapse is the return of symptoms after a period of improvement, which is a common explanation for the recurrence of hallucinations in a client with schizophrenia.

C. The SE model (Social Ecological Model) is a framework for understanding the various levels of influence on health behaviors and is not a direct cause of hallucinations.

D. Stigma refers to the negative attitudes and beliefs about mental illness, which can affect a client’s self-perception but is not a direct cause of symptom exacerbation.

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A nurse is planning a teaching for a group of clients about defense mechanisms. Which of the following information should the nurse include? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A nurse on an inpatient mental health unit attends a training session about nurse burnout. The nurse should identify that burnout is most common in nurses who have which of the following traits?

Correct Answer is D

Explanation

A nurse is caring for a client who has schizophrenia with an exacerbation of hallucinations. The client states, "I do not understand why the hallucinations have come back." The nurse should explain that which of the following is the reason for the exacerbation of hallucinations?

Correct Answer is B

Explanation

A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?

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A nurse is caring for a client who is experiencing manifestations of anxiety. The nurse should recognize which of the following statements about the neurophysiologic manifestations of anxiety as correct?

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A nurse is discussing mental health with a client. Which of the following statements by the client requires follow-up by the nurse?

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