A primary mechanism used by people with personality disorders is:

Euphoria

Depression

Manipulation

Projection

Answer and Explanation

The Correct Answer is D

Choice A reason: Euphoria is not typically a defense mechanism; it's a feeling of intense excitement and happiness.

Choice B reason: Depression is a mental health condition, not a defense mechanism.

Choice C reason: Manipulation can be a behavior exhibited by individuals with certain personality disorders, but it is not considered a primary defense mechanism.

Choice D reason: Projection is a defense mechanism where individuals attribute their own unacceptable thoughts, feelings, and motives to another person.

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Correct Answer is B

Explanation

Choice A reason: Evaluation is the final step of the nursing process, where the nurse determines the effectiveness of the nursing care provided.

Choice B reason: Assessment is the correct part of the nursing process for the mental status examination, as it involves collecting data about the patient.

Choice C reason: Planning involves setting goals and choosing appropriate nursing actions based on the assessment data.

Choice D reason: Implementation is the step where the nurse carries out the planned interventions.

A. "We are here to help you and give you the care that you need right now." B. "Do you feel that you don't belong here?" C. "Try to take some deep breaths, and I'm sure you'll feel better." D. "Why do you feel that you need to leave?"

Correct Answer is A

Explanation

Choice A reason: This response is empathetic and reassuring, affirming the nurse's role in providing care and support, which is essential in managing patients with schizophrenia who may experience feelings of paranoia or imprisonment.

Choice B reason: Asking if the patient feels they don't belong could reinforce feelings of alienation or paranoia. It's important to provide reassurance rather than question their sense of belonging.

Choice C reason: While deep breathing can be a calming technique, assuring the patient they will feel better may not address their immediate concerns or the reality of their feelings.

Choice D reason: Asking why they feel the need to leave could challenge the patient's experience and potentially escalate their distress. It's important to validate their feelings and provide reassurance.

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A primary mechanism used by people with personality disorders is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The mental status examination takes place during which part of the nursing process?

Correct Answer is B

Explanation

A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, "I'm being kept in this prison against my will. Please try to get me out." Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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