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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 C

Explanation

Rationale:

A. Reporting the incident to other RNs on the shift does not ensure that the appropriate actions will be taken to address the issue.

B. Agreeing not to report the incident in exchange for the coworker seeking treatment is unethical and does not follow the correct reporting protocol.

C. Reporting the incident to the appropriate person in the chain of communication, such as a supervisor or nurse manager, is the correct course of action. This ensures that the situation is handled according to hospital policy and legal requirements, protecting patient safety and addressing the coworker's substance use disorder.

D. Agreeing not to report the incident if the coworker promises to report themselves is also unethical and fails to meet professional responsibilities.

A. Living in a homeless shelter B. Access to a grocery store C. Employed part-time at minimum wage D. History of diabetes mellitus E. Owning a small dog

Correct Answer is ["A","B","C"]

Explanation

Rationale:

A. Living in a homeless shelter is a significant social determinant that can impact mental health due to instability, lack of privacy, and increased stressors.

B. Access to a grocery store is important because food insecurity and lack of access to nutritious food can negatively affect mental and physical health.

C. Being employed part-time at minimum wage can contribute to financial stress, impacting mental health due to economic instability and potential lack of access to healthcare.

D. While a history of diabetes mellitus is relevant to overall health, it is not a direct social determinant of mental health.

E. Owning a small dog may have a positive impact on mental health due to companionship but is not a primary social determinant in this context.

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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 staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. The coworker admits to stealing narcotics from the medication room. The staff nurse should take which of the following courses of action?

Correct Answer is C

Explanation

A nurse is assessing a client who has a mental illness. Which of the following factors are important when assessing social determinants of mental health? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

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