A supervisor assigns a worker a new project. The worker initially agrees but feels resentful. The next day. when asked about the project worker says, “I've been working on Other things."

When asked 4 hours later, the worker says, "Someone else was using the copy machine, so I couldn’t finish it."

The worker's behavior demonstrates:

Passive aggression

Repression

Sublimation

Reaction formation

Answer and Explanation

The Correct Answer is A

Passive-aggressive behavior is characterized by indirect resistance to the demands of others and an avoidance of direct confrontation. In this case, the worker is demonstrating passive-aggressive behavior by initially agreeing to the project but then making excuses and not completing it.

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Correct Answer is D

Explanation

This client is experiencing auditory hallucinations and may be at risk for self-harm or suicide. The nurse should prioritize visiting this client first to assess their safety and provide appropriate interventions.

Option a. A client who recently burned her arm by accident while using a hot iron at home may require wound care and education on safety, but this situation is not as urgent as the client experiencing auditory hallucinations.

Option b. A client who tells the nurse he experienced manifestations of severe anxiety before and during a job interview may benefit from interventions to manage anxiety, but this situation is not as urgent as the client experiencing auditory hallucinations.

Option c. A client who requests that her antipsychotic medication be changed due to some new adverse eﬀects may require medication adjustment and monitoring for side eﬀects, but this situation is not as urgent as the client experiencing auditory hallucinations.

A. needs to be taught about medication action and side eﬀects. B. refuses to eat or bathe. C. reports feelings of alienation from family. D. is reluctant to participate in unit social activities.

Correct Answer is B

Explanation

According to Maslow’s hierarchy of needs, physiological needs such as food and hygiene are the most basic and fundamental needs that must be met before higher-level needs can be addressed. Therefore, a patient who refuses to eat or bathe would receive higher priority in care planning.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for several clients who are attending community-based mental health programs. Which Of the following clients should the nurse plan to visit first? Select one:

Correct Answer is D

Explanation

A nurse uses Maslow’s hierarchy of needs to plan care for a psychotic patient. Which problem will receive higher priority? The patient who: Select one:

Correct Answer is B

Explanation

A client who is being treated with lithium carbonate for bipolar disorder type I begins to develop diarrhea, vomiting, and drowsiness. Which action should the registered nurse take? Select one:

A registered nurse cares for an older adult patient admitted for the treatment of depression. The health care provider prescribes an antianxiety medication today, but the dose is more than the usual adult dose. The nurse should: Select one:

A registered nurse is planning to care for a client who demonstrates manipulative behaviors. Which of the following interventions should be included in the plan of care?

A therapist recently convicted of multiple counts of Medicare fraud says, "Sure I overbilled. Why not? Takes advantage of the government, so I did too, it is not a problem." These statements show: Select one:

A registered nurse is admitting a client to an alcohol abuse program. The client states, here because of my boss. It was part of my job to go to parties and drink with clients. The client's statement is an example of which of the following defense mechanisms? Select one:

A nurse is caring for a who requires a crisis intervention for acute anxiety. Which of the following actions is the highest priority?

A 26-month-old child displays many negative behaviors. The parent says, "My child refuses toilet training and shouts, 'No, no, no!' when given directions. What do you think is wrong?" Select the registered nurse's best reply: Select one:

A nurse is communicating with a client who was just admited for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? Select one: