The nurse is caring for a client in the psychiatri

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Question 1 of 5

The nurse is caring for a client in the psychiatric unit who has issues with coping and defense mechanisms. The nurse understands that which is true regarding coping and defense mechanisms? Select all that apply.

A. Coping mechanisms are destructive ways to avoid dealing with reality. B. Physical symptoms, general irritability, and self-destructive behaviors are some of the signs of inadequate coping. C. Criticizing ineffective defense mechanisms will guide the client toward better coping techniques. D. Ineffective coping mechanisms allow anxiety to increase, triggering the client to utilize defense mechanisms in order to protect himself from the anxiety. E. The inability to cope can be caused by a lack of an adequate support system, a serious medical diagnosis, situational crises, or a lack of psychological resources.

Correct Answer: B,D,E

Rationale: Coping mechanisms are constructive, not destructive, making A incorrect. Criticizing defense mechanisms is nontherapeutic, making C incorrect. Signs of inadequate coping, anxiety escalation, and causes of poor coping are accurate.

Question 2 of 5

The nurse is precepting a new nurse in the psychiatric unit. The nurse is discussing interventions for schizophrenia. Which statement by the student nurse indicates an understanding of management of schizophrenia? Select all that apply.

A. I should be warm and friendly to put the client at ease. B. I can reassure the client that he is in a safe environment. C. Puzzles or word games are good activities to engage in. D. I can help the client use art or writing to express his feelings. E. I won't tell the client when I'm leaving him so he won't get upset.

Correct Answer: B,C,D

Rationale: Reassurance of safety, engaging activities like puzzles, and expressive therapies are appropriate. Overly warm approaches or withholding departure information can increase anxiety or mistrust.

Question 3 of 5

The nurse is caring for a client who has been diagnosed with terminal pancreatic cancer. The family is asking what to expect when the end draws near. Which response by the nurse is most appropriate?

A. I will have the doctor talk to you about that. B. The hospice nurse is the best person to answer your questions. I can put in a consult for you. C. Don't worry about that right now. You don't know if there is another treatment option that will work. D. I can tell you what to look for when the time comes. In the meantime, what are your wishes and goals for care?

Correct Answer: D

Rationale: This response addresses the family's question while opening a discussion about care goals, which is supportive and appropriate.

Question 4 of 5

The nurse is talking in the lounge with other nurses about grief and loss. The nurse understands which to be true regarding grief and loss? Select all that apply.

A. The process of grief is detrimental to physical and emotional health. B. Age, gender, and culture are a few factors that influence the grieving process. C. The nurse must explore his own feelings about death before he may effectively help others. D. The nurse should discourage expression of grief and loss because it may upset other clients nearby. E. The nurse can help the family develop ways to relieve loneliness and depression following the death of a loved one.

Correct Answer: B,C,E

Rationale: Grief is influenced by age, gender, and culture (
B), nurses must process their own feelings about death (
C), and helping families cope with loneliness/depression (E) is appropriate. Grief is not inherently detrimental (
A), and discouraging expression (
D) is counterproductive.

Question 5 of 5

The mental health nurse is caring for a client with Cluster B personality disorder. The nurse would expect the client to exhibit which behaviors? Select all that apply.

A. suspicious of others, magical thinking, eccentric behavior, paranoia, relationship deficits B. preoccupation with rules and details, hoarding, ritualistic behavior, extremely devoted to work C. easily bored, poor and shallow interpersonal relationships, enjoys being the center of attention D. impulsivity, unpredictable behavior, extreme mood shifts, easily angered, playing people against each other E. suspicious and untrusting of others, argumentative, controlling of others, thoughts of grandiosity

Correct Answer: C,D

Rationale: Cluster B personality disorders (e.g., histrionic, borderline) involve being easily bored, shallow relationships, attention-seeking (
C), and impulsivity, mood shifts, and manipulative behavior (
D). Options A and E describe Cluster A, and B describes Cluster C.

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