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

Evaluation

Assessment

Planning

Implementation

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is ["B","C","E","F"]

Explanation

Choice A reason: Forming new relationships easily is not typically associated with PTSD.

Choice B reason: Chemical dependency can be a coping mechanism for those with PTSD.

Choice C reason: Feelings of low self-esteem are common in individuals with PTSD.

Choice D reason: Social integration is not a symptom of PTSD; rather, individuals may struggle with social interactions.

Choice E reason: Flashbacks are a hallmark symptom of PTSD, where individuals relive the traumatic event.

Choice F reason: Irritability is a common symptom of PTSD, often due to heightened arousal and anxiety.

A. Regression B. Repression C. Rationalization D. Reaction formation

Correct Answer is C

Explanation

Choice A reason: Regression involves reverting to an earlier stage of development when faced with stress, which is not what Marie is doing.

Choice B reason: Repression involves unconsciously blocking out painful thoughts or feelings, which is different from Marie's conscious rationalization of her failure.

Choice C reason: Rationalization is a defense mechanism where an individual justifies an unacceptable behavior or feeling with a logical reason, avoiding the true explanation for the behavior. Marie is rationalizing her failure by blaming the instructor rather than accepting her own role in the outcome.

Choice D reason: Reaction formation involves behaving in a way that is opposite to what one truly feels, which is not applicable in Marie's case.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Symptoms of Post-Traumatic Stress Disorder include: (select all that apply)

Correct Answer is ["B","C","E","F"]

Explanation

Marie has just learned that she has failed her mental health nursing class. She tells her friends, "I knew that instructor was going to fail me. She has never liked me and has just been looking for an excuse to fail me all along." Marie's behavior is an example of which defense mechanism?

Correct Answer is C

Explanation

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