MH Managing Client Behaviors Flashcards

1
Q

Altruism

A

Dealing with anxiety by reaching out to others

Ex. Nurse who loses family in fire becomes volunteer firefighter

*Always adaptive, unless used inappropriately or repetitively

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2
Q

Sublimation

A

Dealing with unacceptable feelings or impulses by unconsciously substituting acceptable forms of expression

Ex. Stress at work, work out to decrease stress

*Always adaptive, unless used inappropriately or repetitively

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3
Q

Suppression

A

Voluntarily denying unpleasant thoughts and feelings

Ex. (A) avoiding thinking of argument with friend to focus on test
(M) Lost job, I’ll worry about bills next week

*can be used adaptively, but typically used maladaptively

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4
Q

Repression

A

Unconsciously putting unacceptable thoughts emotions out of awareness

Ex. (A) someone prepping for speech and unconsciously remembers the time when he was young, and kids laughed at him on stage
(M) someone who fears the dentist and forgets to go to appointments

*can be used adaptively, but typically used maladaptively

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5
Q

Regression

A

the sudden use of childlike or primitive behaviors that don’t correlate with a person’s current developmental level

Ex. (A) a child that wets the bed when their pet passes away
(M) Disagreement with coworker leads to throwing objects

*can be used adaptively, but typically used maladaptively

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6
Q

Displacement

A

Shifting emotions to object, person, situation to another less threatening object, person or situation

Ex. (A) adolescent that punches punching bag after game
(M) angry about losing job, destroys favorite toy

*can be used adaptively, but typically used maladaptively

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7
Q

Reaction formation

A

Overcompensation or demonstrating the opposite behavior of what is felt

Ex. (A) smoker who is trying to quit, repeatedly tells kids dangers of nicotine
(M) hate your neighbor, but tell everyone how great they are

*can be used adaptively, but typically used maladaptively

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8
Q

Undoing

A

Performing an act to make up for previous behavior

Ex. (A) child does chores after argument with parents who being asked
(M) man who buys his wife flowers, gifts after abusing her

*can be used adaptively, but typically used maladaptively

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9
Q

Rationalization

A

Creating reasonable and acceptable explanations for unacceptable behavior

Ex. (A) when rejected by a girl, a boy thinks she must have a bf
(M) teen had to drive home drunk to feed their dog

*can be used adaptively, but typically used maladaptively

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10
Q

Dissociation

A

Creating a temporary compartmentalization of lack of connection between the person’s identity, memory, or how they perceive the environment

Ex. (A) mother ignores rowdy children to focus on driving
(M) a woman who forgets who she is after a sexual assault

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11
Q

Denial

A

Pretending the truth isn’t reality to manage the anxiety of acknowledging what is real

Ex. (A) “No, that can’t be true” in response to positive cancer result
(M) son killed in combat and tells fam that son is coming home for holidays

*can be used adaptively, but typically used maladaptively

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12
Q

Compensation

A

Emphasizing strengths to make up for weakness

Ex. (A) child unable to physically participate in sports, excels in academics
(M) a shy person works at computer skills to avoid socialization

*can be used adaptively, but typically used maladaptively

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13
Q

Identification

A

Conscious/unconscious assumption of the characteristics of another individual or group

Ex. (A) girl with chronic illness acts as a nurse for her dolls
(M) child view father abusing mom, becomes a bully at school

*can be used adaptively, but typically used maladaptively

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14
Q

Intellectualization

A

Separation of emotions and logical facts when analyzing or coping with a situation or event

Ex. (A) cop who can block emotion to focus on investigation
(M) terminally ill person focuses on creating will, finances instead of acknowledging grief

*can be used adaptively, but typically used maladaptively

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15
Q

Conversion

A

responding to stress through the unconscious development of physical manifestations not caused by a physical illness

Ex. (M) a person who experiences deafness after partner tells him she wants a divorce

*Only maladaptive

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16
Q

Splitting

A

Demonstrating an inability to reconcile -/+ attributes of self, others

Ex. (M) clients says nurse is only one to care for her; but next day, refuses to talk to nurse

*only maladaptive

17
Q

Projection

A

Attributing ones unacceptable thoughts, feelings onto another who doesn’t have them

Ex. (M) married woman who is attracted to another an accuses her husband of having an affair

*only maladaptive

18
Q

A client with chronic ongoing stress complains of physical symptoms. The nurse is caring for him is aware that the most common chronic problem caused by stress is which of the following?

A. Nausea
B. Headaches
C. Chest pain
D. Depressed mood

A

B. Headaches

19
Q

Stress reduction is likely to result in which of the following? SATA.

A. Reduced pain
B. Lower BP
C. Decreased cognitive function
D. Decreased GI problems
E. Terminal insomnia

A

A. Reduced pain
B. Lower BP
D. Decreased GI problems

20
Q

What would a client experience during a progressive relaxation session?

A. Instruction in sequential tensing and relaxing of various muscle groups until the entire body is relaxed
B. Being attached to a machine that monitors a physical parameter and receiving audible feedback about the state of that parameter
C. Having a nurse enter the client’s energy field to rebalance it and bring harmony
D. Being led into a positive imaginary sensory experience

A

A. Instruction in sequential tensing and relaxing of various muscle groups until the entire body is relaxed

21
Q

A patient nervously says, “Financial problems are stressing my marriage. I’ve heard rumors about cutbacks at work; I am afraid I might get laid off.” The patient’s pulse is 112/min; respirations are 26/minute; and BP is 166/88. Which nursing intervention will the nurse implement?

A. Advise the patient, “Go to sleep 30 to 60 minutes earlier each night to increase rest.”
B. Direct the patient in slow and deep breathing via use of a positive, repeated word.
C. Suggest the patient consider that a new job might be better than the present one
D. Tell the patient, “Relax by spending more time playing with your pet”

A

B. Direct the patient in slow and deep breathing via use of a positive, repeated word.

22
Q

A 32-year-old male client is experiencing severe anxiety over a recent failed relationship. What nursing intervention should be given highest priority?

A. Give the client an anti-anxiety agent immediately
B. Offer him psychotherapy to calm him down
C. Take the client to a quiet environment
D. Place him in supervised seclusion immediately

A

C. Take the client to a quiet environment

23
Q

A nurse is closely monitoring a newly admitted client who is anxious. At what anxiety level might this client become assaultive and a potential threat to himself and others?

A. Mild
B. Moderate
C. Severe
D. Panic

A

D. Panic

24
Q

A 46-year old male client presents to an outpatient clinic requesting relief from symptoms of depression related to the death of his father. According to Erikson, which of the following areas of the client’s life would exhibit dysfunction with inability to achieve developmental milestones?

A. The client states that he spends most of his nights alone
B. The client has been experiencing difficulties submitting career related projects on time
C. The client recently declined to mentor a family friend’s son
D. The client reports feeling frustrated with his friends

A

B. The client has been experiencing difficulties submitting career related projects on time

25
Q

A client is experiencing sudden, moderate-level anxiety. The nurse would anticipate that the psychiatrist would most likely prescribe which medication?

A. Citalopram
B. Alprazolam
C. Fluoxetine
D. Chlordiazepoxide

A

B. Alprazolam

26
Q

A nurse assesses severe anxiety in a client. Which symptom would the nurse expect to see as a response of the sympathetic nervous system to anxiety?

A. Tachycardia
B. Bradycardia
C. Constricted pupils
D. Increased peristalsis

A

A. Tachycardia

27
Q

A nurse is caring for a 23-year-old client with schizophrenia. When the patient’s father shows up during visiting hours, the client lies down in bed, curls up in a ball, and sucks his thumb. Which of the following defense mechanisms is the client exhibiting?

A. Undoing
B. Regression
C. Altruism
D. Displacement

A

B. Regression

28
Q

Ed, an 18-year-old male, hosted a party as his parent’s house while his parents were out of town. It was lit, to say the least. When Ed’s parents returned, they were infuriated by how messy the house was. Ed apologized, and gave them a $50 gift card to Applebee’s. Which defense mechanism is Ed using?

A. Regression
B. Altruism
C. Reaction formation
D. Undoing

A

D. Undoing

29
Q

Which assessment finding is the best predictor of violence in a newly admitted client?

A. A recent assault on a drinking companion
B. A family history of bipolar disorder
C. The nurse’s subjective feeling that the client is uncooperative
D. A childhood history of being bullied at school

A

A. A recent assault on a drinking companion

30
Q

Which would be the most appropriate response by the nurse to help a client who is demonstrating escalating anger?

A. Walk the client to his room and help him practice stress-reduction techniques, such as deep breathing or muscle relaxation
B. Suggest that the client spend women time in the gym with a punching bag to relieve his stress
C. Suggest that the client spend some time pacing rapidly in the hallway until he feels less stressed
D. Sit with the client in the day room so that he can vent his anger and not isolate himself

A

A. Walk the client to his room and help him practice stress-reduction techniques, such as deep breathing or muscle relaxation

31
Q

A nurse is facilitating an education group on diabetes management. Which of the following leadership styles would best facilitate learning with newly diagnosed clients?

A. Monarchy
B. Democratic
C. Autocratic
D. Lasseiz Faire

A

C. Autocratic

32
Q

During a daily goal group, a nurse notices that one of the group members has not been participating in the discussion. Which of the following interventions would be best to continue facilitating the group and address the member who is not participating?

A. Direct the client back to their room
B. Ask the client why they are not participating
C. Encourage the client to participate
D. Remove all other clients from the group

A

C. Encourage the client to participate