Ego Defense Mechanisms
Lisa's daughter was killed by a drunk driver. She focuses all his anger and energy into supporting mothers against drunk drivers. What ego defense mechanism is this?
A) Projection
B) Isolation
C) Sublimation
D) Intellectualization
What is Sublimation
Rechanneling of drives or impulses that are personally or socially unacceptable into activities that are constructive
What are Kubler- Ross five stages of grief response in order?
A) Anger, Depression, Bargaining, Acceptance, Denial
B) Depression, Anger, Acceptance, Denial, Bargaining
C) Denial, Anger, Bargaining, Depression, Acceptance
D) Denial, Bargaining, Anger, Acceptance, Depression
What is C) Denial, Anger, Bargaining, Depression, Acceptance
Which stage of anxiety is associated with incoherent speech and ineffective communication?
A) Mild
B) Panic
C) Severe
D) Moderate
What is B) The panic stage of anxiety is characterized by a severe state of psychological stress. The client will have incoherent speech and ineffective communication during this stage of anxiety.
Trevor just failed his history exam. Instead of going home to cry, he goes to the gym and exercise, and afterwards, he goes home and does breathing exercises before studying again. What coping method did he use?
A) Relaxation
B) Awareness
C) Problem- Solving
D) Music
What is Relaxation
Charlie is nervous about his new job and yells at his wife. On his way home, he stops and gets her flowers. What ego defense mechanism is this?
A) Undoing
B) Sublimation
C) Projection
D) Identification
What is Undoing
Symbolically negating or canceling out an experience that one finds intolerable
Taylor's husband being transferred with his job to city far away from her parents. She hides anxiety by explaining to her parents the advantages associated with the move. This is an example of:
A) Undoing
B) Intellectualization
C) Compensation
D) Displacement
What is Intellectualization
An attempt to avoid expressing actual emotions associated with a stressful situation by using the intellectual processes of logic, reasoning, and analysis.
Linda Lost her son 7 months ago. Since then, her eating habits have decreased, she stopped attending her book club meetings, and has been angry with everyone around her. What Pathological grief response is being exhibited by this client?
A) Prolonged grief response
B) Delayed grief response
C) Inhibited grief response
D) Distorted grief response
What is Distorted grief response
The individual is fixed in the anger stage of grieving. This may culminate in pathological depression.
A high score on the Recent Life Changes Questionnaire places the individual at greater _____ to physical or psychological illness. (Fill in the Blank)
What is Susceptibility
Alaina has just received a promotion on her job. She is very happy and excited about moving up in her company, but she has been experiencing anxiety since receiving the news. Her primary appraisal is that she most likely views the situation as which of the following?
A) Benign-Positive
B) Irrelevant
C) Challenging
D) Threatening
What is Challenging?
The individual focuses on potential for gain or growth rather than on risks associated with the event.
The nurse is caring for a child who has a terminal illness. The nurse informs the child’s parents about the impending death of the child. Which type of grief does the nurse initially find in the parents?
A) Denial
B) Bargaining
C) Acceptance
D) Anticipatory grief
What is D) Anticipatory grief
Experiencing the grief process before the actual loss occurs.
Kelly, a rape victim states she does not remember anything from the attack. What Ego defense mechanism does this display?
A) Repression
B) Regression
C) Denial
D) introjection
What is Repression
Involuntarily blocking unpleasant feelings and experiences from one's awareness.
_________ is often called the father of American Psychiatry.
A) Andrew Hortwitz
B) Benjamin Rush
C) John Maslow
D) Davis Felom
What is Benjamin Rush
The parents of a 10-year-old child are informed that the child is in the terminal stage of acute lymphocytic leukemia. Which characteristics of the parents indicate that they are in the acceptance stage of grief?
A) Being sad but determined to spend meaningful last days with their child, letting her know their love
B) Insisting that no one is telling the truth
C) Delaying consent for treatment and procedures
D) Asking no questions about treatment or prognosis
What is A) Being sad but determined to spend meaningful last days with their child, letting her know their love
The parents being sad is natural but the fact that they are focusing on using the time left to love their child indicates that they are in the acceptance stage of grief.
What is an appropriate example of Genetic Influences?
A) Health Status, motivation, developmental maturity, severity, and duration of stressor
B) Family history of physical and psychological conditions and temperament
C) Result in learned patterns that can influence an individual's physical
What is Family history of physical and psychological conditions (strengths and weaknesses) and temperament (Behavioral characteristics present at birth that evolve with development)
This stage occurs when the body responds to prolonged exposure to a stressor. What is this an example of?
A) Fight or flight
B) Stage of resistance
C) Alarm reaction stage
D) Stage of exhaustion
What is D) Stage of Exhaustion
George got written up at work when he gets home, he sees toys all over the floor, so he starts screaming at his son very loudly as an example of:
A) Displacement
B) Projection
C) Reaction Formation
D) Denial
What is Displacement
The transfer of feelings from one target to another that is considered less threatening or that is neutral.
Perpetual Field diminishes greatly, they have confusion, dread, and horror, and they're attention span is extremely limited. What anxiety level is the person exhibiting?
A) Moderate Anxiety
B) Mild Anxiety
C) Severe Anxiety
D) Panic Anxiety
What is severe anxiety.
"Which coping strategies are available to me?"
"Will the option I choose be effective in this situation?"
"Do I have the ability to use that strategy in an effective manner?"
This is an example of?
A) Primary appraisal
B) Irrelevant
C) Secondary appraisal
D) Undoing
What is Secondary Appraisal
Which statement by the registered nurse can be categorized under the alarm reaction stage?
A) The physiological responses of fight or flight syndrome are initiated
B) The individual attempts to adapt to the stressor
C) The body adjusts to the stressor due to prolonged exposure
D) Diseases may occur due to the adaption to the stressor
What is A) The physiological responses of fight or flight syndrome are initiated
A distraught, single, first-time mother cries and asks a nurse, How can I go to work if I cant afford childcare? What is the nurses initial action in assisting the client with the problem-solving process?
A) Determine the risks and benefits for each alternative.
B) Formulate goals for resolution of the problem.
C) Evaluate the outcome of the implemented alternative.
D) Assess the facts of the situation.
What is D) Assess the facts of the situation.
Denise finds her coworker Kevin very attractive however, she is married. She's finding it harder to control herself around him, so she files a complaint stating that he sexually harassed her. What ego defense mechanism is this an example of?
A) Identification
B) Reaction Formation
C) Introjections
D) Projections
What is Projections?
Attributing feelings or impulses unacceptable to oneself to another person
What symptoms are commonly observed in a client with psychosis? Select all that apply.
A) Hallucinations
B) Obsessions
C) Disorganized speech
D) Delusions
E) Hypochondriasis
What is A, C, and D
Hallucinations, Disorganized speech, and delusions
The characteristic features are physical symptoms for which there is no evident organic pathology
A) Somatic symptom disorder
B) Dissociative disorder
C) Panic Disorder
D) Anxiety disorder
What is A) Somatic Symptom Disorder
A school nurse is assessing a female high school student who is overly concerned about her appearance. The clients mother states, Thats not something to be stressed about! Which is the most appropriate nursing response?
A) Teenagers! They don't know a thing about real stress.
B) Stress occurs only when there is a loss.
C) When you are in poor physical condition, you can't experience psychological well-being.
D) Stress can be psychological. A threat to self-esteem may result in high stress levels.
What is D) Stress can be psychological. A threat to self-esteem may result in high stress levels.
A) Depression
B) Bereavement
C) Psychosis
D) Neurosis
What is C) Psychosis
Psychosis is defined as a significant thought disturbance in which reality testing is impaired, resulting in delusions, hallucinations, disorganized speech or catatonic behavior