Which finding best indicates that the goal "demonstrate a healthy self-concept" has been achieved for an adult?

Describes the consequences of personal actions

Sees self as always capable of achieving goals

Seeks help from others when needed

Meets own needs without considering the rights of others

Answer and Explanation

The Correct Answer is C

Choice A reason: Describing consequences of actions indicates cognitive awareness and problem-solving skills, but it does not directly reflect a healthy self-concept. Self-concept involves self-perception, esteem, and a balanced view of strengths and limitations. This choice focuses on behavioral outcomes, not internal self-worth, making it an inadequate indicator of the goal.

Choice B reason: Perceiving oneself as always capable of achieving goals suggests overconfidence or grandiosity, which can indicate a maladaptive self-concept, potentially linked to narcissistic traits. A healthy self-concept involves realistic self-assessment, acknowledging both strengths and limitations. This choice reflects an unbalanced view, making it incorrect for the goal of a healthy self-concept.

Choice C reason: Seeking help when needed demonstrates a healthy self-concept, reflecting self-awareness, humility, and confidence in recognizing personal limitations. This aligns with psychological theories of self-esteem, emphasizing balanced self-perception and social interdependence. It indicates emotional maturity and adaptive coping, making this the correct choice for achieving the goal.

Choice D reason: Meeting own needs without regard for others’ rights suggests selfishness or lack of empathy, indicative of a maladaptive self-concept. A healthy self-concept includes respect for social boundaries and reciprocity, which this choice violates. It reflects a self-centered approach, not a balanced or healthy self-perception, making it incorrect.

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Correct Answer is A

Explanation

Choice A reason: Transference occurs when a patient unconsciously projects feelings or attitudes from past relationships onto the nurse, a common phenomenon in psychotherapy. This influences the therapeutic relationship, requiring careful management, aligning with psychoanalytic principles, making this the correct choice.

Choice B reason: The nurse projecting feelings onto the patient describes countertransference, not transference. This involves the nurse’s unconscious biases, which can hinder therapy if not addressed, but it is distinct from the patient-driven process of transference, making this choice incorrect.

Choice C reason: A patient refusing to engage reflects resistance, not transference. Resistance involves avoiding therapeutic work, often due to anxiety, but it lacks the projective quality of transference, which involves redirecting past emotions, making this choice incorrect.

Choice D reason: Establishing boundaries is a therapeutic technique, not transference. Boundaries ensure professional interactions but do not involve the unconscious projection of feelings from past relationships, which defines transference, making this choice incorrect for the described phenomenon.

A. Reports occasional sleeplessness and anxiety B. Cannot distinguish between "what is real" and "not real" C. Expresses uncertainty about whether to change jobs D. Reports sadness and low mood

Correct Answer is B

Explanation

Choice A reason: Occasional sleeplessness and anxiety are common stress responses and do not necessarily indicate mental illness. These symptoms may reflect temporary issues rather than a diagnosable psychiatric condition, lacking specificity for severe mental illness compared to reality-testing deficits, making this choice incorrect.

Choice B reason: Inability to distinguish reality from non-reality is a hallmark of psychosis, a severe mental illness symptom seen in disorders like schizophrenia. This indicates impaired reality testing, a critical diagnostic criterion, making it the clearest indicator of mental illness among the options, thus the correct choice.

Choice C reason: Uncertainty about job changes reflects normal decision-making stress, not a mental illness. It lacks specificity for psychiatric conditions, as it is a common life concern. This choice does not indicate a significant mental health impairment compared to reality-testing issues, making it incorrect.

Choice D reason: Sadness and low mood may suggest depression, but they are less specific than psychotic symptoms like reality distortion. These feelings can occur in non-clinical contexts, making them less definitive for mental illness compared to inability to discern reality, rendering this choice incorrect.

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Which finding best indicates that the goal "demonstrate a healthy self-concept" has been achieved for an adult?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Transference is best described as which of the following?

Correct Answer is A

Explanation

Which assessment finding most clearly indicates that a patient may be experiencing a mental illness?

Correct Answer is B

Explanation

Which individual is demonstrating the highest level of resilience?

A nurse knows operant conditioning is part of the treatment plan to encourage speech in a child who is nearly mute. Which technique should the nurse apply?

Which of the following are examples of a nurse using non-therapeutic communication techniques? (Select all that apply)

A fearful patient has an increased heart rate and blood pressure. The nurse suspects increased activity of which neurotransmitter?

A 52-year-old woman says to the nurse, "I should have accomplished more in life, what was I thinking?" Which psychosocial crisis is she experiencing?

Silence can be a helpful therapeutic tool for group participants by giving each an opportunity to contemplate what has transpired, weigh alternatives, and formulate ideas. Which statement best supports this?

A nurse uses Maslow's hierarchy of needs to plan care for a patient diagnosed with mental illness. Which problem will receive priority?

Hildegard Peplau came up with the phases of the nurse-patient relationship. What does the nurse address during the orientation phase with a patient diagnosed with a psychiatric disorder?