VERIFIED ANSWER 2026
displacement - CORRECT ANSWER The mother of a 3-year-old child tells the nurse
that her child hit her doll after the mother scolded her for picking the neighbors'
flowers. Which defense mechanism used by the child does the nurse identify in
the mother's report?
- Projection
- Sublimation
- Displacement
- Identification
Some people have added exercise to diet and medication therapy and gotten
positive results. Do you think that this would work for you - CORRECT ANSWER A
client says to the nurse, "I've been following my diet and taking my medication.
What else do you want to talk about today?" Which response would be most
helpful during the working phase of the therapeutic alliance?
- "Sounds fine to me. Let's meet again in 6 months."
- "I don't believe that you have been following your diet, because you haven't lost
any weight."
- "Well, you've talked about diet in your terms, but perhaps I should test you on
specific things."
"Some people have added exercise to diet and medication therapy and gotten
positive results. Do you think that this would work for you?"
,Perhaps you can start by sharing some of your most recent concerns - CORRECT
ANSWER As the nurse prepares to interview a client being admitted to the mental
health unit, the client says, "I asked my family to bring me in here to talk to
someone, but now I don't know where to begin." Which response by the nurse
would be most helpful?
- "Why not just start talking and see where it takes you?"
- "If I were you, I'd begin with what you were doing this morning."
- "Perhaps you can start by sharing some of your most recent concerns."
- "Don't worry. Everyone who comes in here for the first time feels reluctant to
talk."
It seems that your parents expect you to follow their rules when you live under
their roof - CORRECT ANSWER During a mental health intake interview, a young
adult client who lives with his family rent free says, "I'm tired of not being able to
offer my friends a beer just because my folks don't believe in taking a drink
socially." Which nursing response would be therapeutic?
- "Well, I guess you could move out and live on your own if you wanted to."
- "It seems that your parents expect you to follow their rules when you live under
their roof."
- "You tell me you live rent free, yet you expect the same privileges as an adult
who supports the household?"
- "Well, if you directly discussed your concerns with them, I guess it's a case of
'When in Rome, do as the Romans do.'"
Assessing the client's risk for violence toward self and others - CORRECT ANSWER
The nurse developing a plan of care for a client whose spouse recently died,
determines the client has a problem with dysfunctional grieving. Which priority
intervention does the nurse incorporate into the plan?
,- Monitoring the client's sleep pattern
- Assessing the client's risk for violence toward self and others
- Obtaining a health care provider's prescription for an antidepressant
Assisting the client in resolving the grief through emotional, cognitive, and
behavioral means
How do you feel the money decisions could best be handled in your household -
CORRECT ANSWER A client in the mental health unit tells the nurse, "My husband
makes all the decisions about money, but I'm the one who's making the money
now, not him. He needs to back off, but he's always directing every decision we
make." Which nursing response would be the most therapeutic?
- "Have you told your husband to back off"?
- "You're making the most money, so the decisions should be left to you."
- "How do you feel the money decisions could best be handled in your
household?"
- "You seem frustrated with your husband's habit of controlling financial
decisions."
Discouraging social networking to prevent the spread of infection - CORRECT
ANSWER The new nurse employee is developing a plan of care, with the
registered nurse, for a client who recently received a diagnosis of acquired
immunodeficiency syndrome (AIDS) and is experiencing difficulty adjusting to the
illness. The registered nurse should suggest revision of which intervention for this
client?
- Monitoring the client for signs of self-harm
- Helping the client verbalize concerns related to fear Incorrect
- Assisting the client with problem-solving and decision-making
, - Discouraging social networking to prevent the spread of infection
B, C, D, E - CORRECT ANSWER A nurse is caring for a patient whose spouse has
died. How does the nurse determine that a client who has lost a spouse has
successfully completed the tasks of mourning? Select all that apply.
A. Relating that "it’s better he went first"
B. Reporting that sleeping alone is so hard now
C. Purchasing a smaller car she is comfortable driving
D. Placing a picture of her husband on the bedside stand
E. Heard explaining to family that illness "took" her husband
Identification - CORRECT ANSWER The nurse is caring for a 15-year-old girl who
has been hospitalized. The client tells the nurse that she had her hair styled just
like her young math teacher, whom she admires. Which defense mechanism
should the nurse recognize that the client is using?
- Projection
- Regression
- Identification
- Intellectualization
You seem to be saying no. Would you tell me more about your reluctance -
CORRECT ANSWER The mental health home care nurse says to the client, "Do you
feel ready to try attending a group session at the clinic?" The client shakes his
head. Which nursing statement would be therapeutic?
- "No? Why not?"
- "You seem to be saying no. Would you tell me more about your reluctance?"