Assessing

Question 1

Defense Mechanisms

Answer 1

conscious or unconscious coping mechanisms used to decrease stress/anxiety

Question 2

Regression

Answer 2

Reverting to an earlier developmental level in response to
stress

Question 3

Repression

Answer 3

Subconscious (INVOLUNTARY) blocking of unpleasant feelings

Question 4

Splitting

Answer 4

failure to recognize positive and negative attributes of an individual (all or nothing mentality) COMMON WITH BORDERLINE PERSONALITY DISORDER

Question 5

Sublimation

Answer 5

unacceptable impulses are transformed into socially acceptable behaviors (ex: taking out anger by hitting a punching bag)

Question 6

Supression

Answer 6

Conscious (VOLUNTARY) blocking of unpleasant feelings

Question 7

Undoing

Answer 7

attempt to “cancel out an unacceptable thought or behavior (ex: manager is excessively harsh on an employee, then goes out of their way to be overly nice and praise them)

Question 8

In performing MSE on a person with dementia. (What alterations would you allow?)

Answer 8

Hearing deficits, confabulation (making things up), repetitive movements and statements and use SLUMS tool assessment

Question 9

Components of MSE:

Answer 9

Appearance, behavior, motor activity, speech, mood/affect, thought process, perception, cognition, insight and judgment.

Question 10

Risk factors for violence and abuse can include

Answer 10

Poverty, unemployment, substance abuse, mental illness, poor education, female, pregnant, elderly…

Question 11

Homicide is highest in

Answer 11

Make African Americans

Question 12

Suicide is highest with

Answer 12

In Native American males older than 75 years

Question 13

Signs of abuse

Answer 13

Incompatibility between story and injury, multiple injuries in various stages of healing, spiral fractures are indicative of twist injury.

Question 14

Nursing engagement with an abused person

Answer 14

Patient may be withdrawn so you need to be clear, honest and direct. Build trust and interview separate from partner and caregiver.

Question 15

Nursing interventions for intimate partner violence

Answer 15

Report-when you report you are using ethical decision making.

Question 16

Phases of Violence

Answer 16

1. Triggering phase
2. Escalation phase
3. Crisis phase
4. Recovery phase
5. Post incident phase
6. Remorse/Reconciliation phase

Question 17

Triggering phase

Answer 17

The start, with tension and frustration building.

Question 18

Escalation phase

Answer 18

Things get worse, with arguments and threats increasing.

Question 19

Crisis Phase

Answer 19

Violence or harm happens, like physical or verbal abuse.

Question 20

Recovery Phase

Answer 20

After, things calm down, and emotions vary.

Question 21

Post-Incident Phase

Answer 21

Dealing with consequences and recovery.

Question 22

Remorse/Reconciliation Phase:

Answer 22

Sometimes, there are apologies or reconciliation attempts. Be cautious.