Odd behavior
Which patient behavior requires additional mental health assessment?
1. Patient is always happy and smiling.
2. Patient can verbalize emotions.
3. Patient can cope with bad news.
4. Patient maintains some close, personal relationships.
1. Patient is always happy and smiling.
A 35-year old woman tells the nurse she was raped when she was 12 years old but no longer remembers the incident. Which defense mechanism is she using?
1. projection
2. repression
3. displacement
4. dissociation
2. repression
A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm coughing because I have that cold that everyone has been getting." The nurse should identify that the client is using which of the following defense mechanisms?
a. Reaction formation
b. Denial
c. Displacement
d. Sublimation
b. Denial
Which of the following is considered an effective therapeutic communication technique?
1. advisement
2. asking why
3. listening attentively
4. using technical language
3. listening attentively
The nurse recognizes that the patient who always seems to be making excuses is displaying which ego defense mechanism?
1. Denial
2. Fantasy
3. Rationalization
4. Transference
3. Rationalization
A client asks a nurse, "What do you think I should do about asking my boss for a raise?" The nurse replies, "What do you think about asking your boss for a raise?" The nurse is using which therapeutic communication technique?
1. focusing
2. restating
3. reflecting
4. suggesting
3. reflecting
John is yelled at by his boss for being an incompetent worker. John goes home and beats his wife. Which ego defense mechanism is being used?
a. Rationalization
b. Displacement
c. Fantasy
d. Transference
b. Displacement
A client experiencing delusions of persecution and auditory hallucinations is admitted to the mental health unit for a psychiatric evaluation after assaulting a friend. Later in the shift, a nurse greets the client by saying, "Good evening, How are you?" The client answers, "This man is bad." This is an example of which of the following?
1. Dissociation
2. Transference
3. Displacement
4. Reaction formation
1. Dissociation
A nurse is caring for a client who has borderline personality disorder. The client says, "The nurse on the evening shift is always nice! You are the meanest nurse ever!" The nurse should recognize the client's statement is an example of which of the following defense mechanisms?
a. Regression
b. splitting
c. undoing
d. identification
b. splitting
Which defense mechanism is most likely to be seen in a client with borderline personality disorder?
1. projection
2. sublimation
3. displacement
4. identification
1. projection