12/18/21, 8:42 PM Session 3 Exam 1 - Mental Health Concepts: NCLEX Remediation Course Nov 2021
Session 3 Exam 1 - Mental Health Concepts
Due Dec 18 at 11:59pm Points 100 Questions 100
Available Dec 15 at 12am - Dec 23 at 11:59pm 9 days Time Limit 150 Minutes
Attempt History
Attempt Time Score
LATEST Attempt 1 18 minutes 99.75 out of 100
Score for this quiz: 99.75 out of 100
Submitted Dec 18 at 8:41pm
This attempt took 18 minutes.
Question 1 pts
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?
Identification
Correct!
Displacement
Sublimation
Projection
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,12/18/21, 8:42 PM Session 3 Exam 1 - Mental Health Concepts: NCLEX Remediation Course Nov 2021
Rationale: The defense mechanism of displacement involves the
discharge of intense feelings for one person onto a substitute
person or object that is less threatening to satisfy an impulse.
Projection involves attributing an attitude, behavior, or impulse,
such as that which occurs in blaming or scapegoating, to someone
else. Sublimation is the act of rechanneling an impulse into a more
socially acceptable object. Identification involves modeling
behavior after someone else's.
Test-Taking Strategy: Note the subject of the question, defense
mechanisms. Focusing on the data in the question and the child’s
behavior will direct you to the correct option. Review: these
defense mechanisms .
Reference: Varcarolis, E., & Halter, M. (2009). Essentials of
psychiatric mental health nursing: A communication approach to
evidence-based care (p. 133). St. Louis: Saunders.
Cognitive Ability: Understanding
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Assessment
Content Area: Mental Health
Giddens Concepts: Development, Mood and Affect
HESI Concepts: Developmental, Mood and Affect
Question 2 pts
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?
“Well, you’ve talked about diet in your terms, but perhaps I should test you
on specific things.”
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,12/18/21, 8:42 PM Session 3 Exam 1 - Mental Health Concepts: NCLEX Remediation Course Nov 2021
“I don’t believe that you have been following your diet, because you
haven’t lost any weight.”
“Sounds fine to me. Let’s meet again in 6 months.”
Correct!
“Some people have added exercise to diet and medication therapy and
gotten positive results. Do you think that this would work for you?”
Rationale: Although suggestion or overt giving of advice is
sometimes nontherapeutic, these strategies are therapeutic when
used in the working phase, because in this situation they will
increase the client’s perception of all available options in the
treatment plan. Answering, “Sounds fine to me. Let’s meet again in
6 months” stops the communication process. Stating to the client
that he or she has not lost any weight implies disbelief and does
not explore the reasons for the client’s failure to lose weight.
“Testing” challenges the client and is nontherapeutic.
Test-Taking Strategy: Note the strategic word “most” and
remember therapeutic communication techniques. Noting the
words “working phase” in the question will direct you to the correct
option. Review: therapeutic communication techniques .
Reference: Stuart, G. (2009). Principles & practice of psychiatric
nursing (9th ed., pp. 27-31, 553). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
Content Area: Mental Health
Giddens Concepts: Communication, Health Promotion
HESI Concepts: Communication, Health, Wellness, and Illness—
Health Promotion
Question 3 pts
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, 12/18/21, 8:42 PM Session 3 Exam 1 - Mental Health Concepts: NCLEX Remediation Course Nov 2021
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?”
“Don’t worry. Everyone who comes in here for the first time feels reluctant
to talk.”
“If I were you, I’d begin with what you were doing this morning.”
Correct!
“Perhaps you can start by sharing some of your most recent concerns.”
https://jerseycollege.instructure.com/courses/2491/quizzes/27619 4/178
Session 3 Exam 1 - Mental Health Concepts
Due Dec 18 at 11:59pm Points 100 Questions 100
Available Dec 15 at 12am - Dec 23 at 11:59pm 9 days Time Limit 150 Minutes
Attempt History
Attempt Time Score
LATEST Attempt 1 18 minutes 99.75 out of 100
Score for this quiz: 99.75 out of 100
Submitted Dec 18 at 8:41pm
This attempt took 18 minutes.
Question 1 pts
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?
Identification
Correct!
Displacement
Sublimation
Projection
https://jerseycollege.instructure.com/courses/2491/quizzes/27619 1/178
,12/18/21, 8:42 PM Session 3 Exam 1 - Mental Health Concepts: NCLEX Remediation Course Nov 2021
Rationale: The defense mechanism of displacement involves the
discharge of intense feelings for one person onto a substitute
person or object that is less threatening to satisfy an impulse.
Projection involves attributing an attitude, behavior, or impulse,
such as that which occurs in blaming or scapegoating, to someone
else. Sublimation is the act of rechanneling an impulse into a more
socially acceptable object. Identification involves modeling
behavior after someone else's.
Test-Taking Strategy: Note the subject of the question, defense
mechanisms. Focusing on the data in the question and the child’s
behavior will direct you to the correct option. Review: these
defense mechanisms .
Reference: Varcarolis, E., & Halter, M. (2009). Essentials of
psychiatric mental health nursing: A communication approach to
evidence-based care (p. 133). St. Louis: Saunders.
Cognitive Ability: Understanding
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Assessment
Content Area: Mental Health
Giddens Concepts: Development, Mood and Affect
HESI Concepts: Developmental, Mood and Affect
Question 2 pts
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?
“Well, you’ve talked about diet in your terms, but perhaps I should test you
on specific things.”
https://jerseycollege.instructure.com/courses/2491/quizzes/27619 2/178
,12/18/21, 8:42 PM Session 3 Exam 1 - Mental Health Concepts: NCLEX Remediation Course Nov 2021
“I don’t believe that you have been following your diet, because you
haven’t lost any weight.”
“Sounds fine to me. Let’s meet again in 6 months.”
Correct!
“Some people have added exercise to diet and medication therapy and
gotten positive results. Do you think that this would work for you?”
Rationale: Although suggestion or overt giving of advice is
sometimes nontherapeutic, these strategies are therapeutic when
used in the working phase, because in this situation they will
increase the client’s perception of all available options in the
treatment plan. Answering, “Sounds fine to me. Let’s meet again in
6 months” stops the communication process. Stating to the client
that he or she has not lost any weight implies disbelief and does
not explore the reasons for the client’s failure to lose weight.
“Testing” challenges the client and is nontherapeutic.
Test-Taking Strategy: Note the strategic word “most” and
remember therapeutic communication techniques. Noting the
words “working phase” in the question will direct you to the correct
option. Review: therapeutic communication techniques .
Reference: Stuart, G. (2009). Principles & practice of psychiatric
nursing (9th ed., pp. 27-31, 553). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
Content Area: Mental Health
Giddens Concepts: Communication, Health Promotion
HESI Concepts: Communication, Health, Wellness, and Illness—
Health Promotion
Question 3 pts
https://jerseycollege.instructure.com/courses/2491/quizzes/27619 3/178
, 12/18/21, 8:42 PM Session 3 Exam 1 - Mental Health Concepts: NCLEX Remediation Course Nov 2021
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?”
“Don’t worry. Everyone who comes in here for the first time feels reluctant
to talk.”
“If I were you, I’d begin with what you were doing this morning.”
Correct!
“Perhaps you can start by sharing some of your most recent concerns.”
https://jerseycollege.instructure.com/courses/2491/quizzes/27619 4/178
