The nurse is preparing to assess the client's attitude toward mental illness. Rank these steps in priority order for effectiveness of the interaction. 1. The nurse offers educational resources. 2. The nurse examines their own beliefs. 3. The nurse plans to use open-ended questions during the interaction. 4. The nurse explores the client's cultural values without judgment.

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Theory of Health Behavior Change Questions

Question 1 of 5

The nurse is preparing to assess the client's attitude toward mental illness. Rank these steps in priority order for effectiveness of the interaction. 1. The nurse offers educational resources. 2. The nurse examines their own beliefs. 3. The nurse plans to use open-ended questions during the interaction. 4. The nurse explores the client's cultural values without judgment.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

As a nurse escorts a patient being discharged after treatment for major depression, the patient gives the nurse a necklace with a heart pendant and says, Thank you for helping mend my broken heart. Which is the nurses best response?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

An advanced practice nurse observes a novice nurse expressing irritability regarding a patient with a long history of alcoholism and suspects the new nurse is experiencing countertransference. Which comment by the new nurse confirms this suspicion?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A patient who has been working on controlling impulsive behavior shows a strengthening ego through which of the following behaviors?

Correct Answer: B

Rationale: The id is the part of one's nature that reflects basic or innate desires such as pleasure-seeking behavior, aggression, and sexual impulses. The id seeks instant gratification, causes impulsive unthinking behavior, and has no regard for rules or social convention. The superego is the part of a person's nature that reflects moral and ethical concepts, values, and parental and social expectations; therefore, it is in direct opposition to the id. The third component, the ego, is the balancing or mediating force between the id and the superego. The ego represents mature and adaptive behavior that allows a person to function successfully in the world.

Question 5 of 5

A college student decides to go to a party the night before a major exam instead of studying. After receiving a low score on the exam, the student tells a fellow student, 'I have to work too much and don't have time to study. It wouldn't matter anyway because the teacher is so unreasonable.' The defense mechanisms the student is using are

Correct Answer: B

Rationale: When stating that it wouldn't matter if the student studied, the student is using rationalization, which is excusing own behavior to avoid guilt, responsibility, conflict, anxiety, or loss of self-respect. When stating that the teacher is unreasonable, the student is using projection or the unconscious blaming of unacceptable inclinations or thoughts as an external object. Denial is the failure to acknowledge an unbearable condition. Displacement is the ventilation of intense feelings toward persons less threatening than the one who aroused those feelings. Reaction formation is acting the opposite of what one thinks or feels. Resistance is overt or covert antagonism toward remembering or processing anxiety-producing information. Regression is moving back to a previous developmental stage to feel safe or have needs met. Compensation is overachievement in one area to offset real or perceived deficiencies in another area.

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