POST TEST MAD Correct answers are hidden.
Due May 2 at 11:59pm Points 100 Score for this attempt: 100 out of 100
Questions 100 Available until May 2 at 11:59pm Submitted Apr 29 at 4:23pm
Time Limit 100 Minutes Allowed Attempts Unlimited This attempt took 76 minutes.
pts
Instructions Question 1
This is the Post test Exam for the concept - care of clients with
The nurse is working with a client who has sought
maladaptive patterns of behaviors.
counselling after trying to rescue a neighbour
A 100 item exam that will cover the pretest and the followinng review involved in, the neighbour died. Which action does
materials downable here. the nurse engage in with the client during the
working phase of the nurse – client relationship?
1. Test items from previous Nursing licensure examination
2. Test Items from Saunders
Exploring the client’s potential for self harm
3. Test items from Videbeck
Exploring the client’s ability to function
4. Review from Ms. Balatbat
This is a one time only exam that is available for more than 24 hours
from April 29 to April 30. Inquiring about and examining the client’s feelings
that may block adaptive coping
This will complete your grade for NCA2 Psyche concept.
Thank you.
The client must first deal with feelings and
negative responses before the client can work
through the meaning of the crisis.
Take the Quiz Again
Attempt History Inquiring about the client’s perceptions or
appraisal of the neighbour’s death
Attempt Time Score
LATEST Attempt 1 76 minutes 100 out of 100
https://feu.instructure.com/courses/44669/quizzes/134606 1/77 https://feu.instructure.com/courses/44669/quizzes/134606 2/77
,4/29/2020 POST TEST MAD: TEAM TEACHING COMPETENCY APPRAISAL 2 4/29/2020 POST TEST MAD: TEAM TEACHING COMPETENCY APPRAISAL 2
client’s blood, the client begins to shout “You’re all
Question 2 pts
vampires. Let me out of here!” The appropriate
nursing response is which of the following?
A client who has just been sexually assaulted is
quiet and calm. The nurse analyzes this behaviour “I’ll leave and come back later for your blood.”
as indicating which defense mechanism?
“What makes you think that I am a vampire?”
Projection
“It must be frightening to think that others want to
Rationalization hurt you.”
Intellectualization
This option helps the client focus on the
Denial emotion underlying the delusion but does not
argue with it. Option A places the client in a
position that requires a response.
Denial is refusal to admit to a painful reality
and maybe a response by a victim of sexual
abuse
“I am not going to hurt you. I am going to help
Projection is transferring one’s internal you.”
feelings, thoughts and unacceptable ideas
and traits to someone else. Rationalization is
justifying the unacceptable attributes about
oneself. Intellectualization is the excessive
use of abstract thinking or generalizations to
decrease painful thinking pts
Question 4
Unresolved feelings related to loss most likely may
be recognized during which phase of the therapeutic
Question 3 pts nurse patient relationship?
Laboratory work is prescribed for a client who has Orientation phase
been experiencing delusions. When the nurse
approaches the client to obtain a specimen of the Working phase
https://feu.instructure.com/courses/44669/quizzes/134606 3/77 https://feu.instructure.com/courses/44669/quizzes/134606 4/77
,4/29/2020 POST TEST MAD: TEAM TEACHING COMPETENCY APPRAISAL 2 4/29/2020 POST TEST MAD: TEAM TEACHING COMPETENCY APPRAISAL 2
Trusting phase
Termination
Question 6 pts
In the termination phase, the relationship
comes to a close. Ending treatment
sometimes maybe traumatic for the client who A client admitted to the mental health unit is
has come to value the relationship and the experiencing disturbed thought processes and
help. Because loss is an issue, any believes that the food is being poisoned. Which
unresolved feelings related to loss may communication technique does the nurse plan to use
resurface during this phase. to encourage the client to eat?
Focusing on self-disclosure regarding food
preferences
Question 5 pts
The community health nurse visits a client at home. Identifying the reasons that the client may not
The client states, “I haven’t slept at all the last what to eat
couple of nights.” Which response by the nurse
illustrates a therapeutic communication technique for
this client? Using open-ended questions and silence
Open – ended questions and silence are
“Go on.” strategies used to encourage clients to
discuss their problems. Other options are not
“Sleeping?” helpful because they do not encourage
expression of feelings.
“You’re having difficulty sleeping?”
Restatement is a technique that repeats the Offering opinions about the necessity of adequate
client’s major theme, which assists the nurse nutrition
to obtain a more specific perception of the
problem from the client.
Sometimes, I have trouble sleeping too.”
https://feu.instructure.com/courses/44669/quizzes/134606 5/77 https://feu.instructure.com/courses/44669/quizzes/134606 6/77
, 4/29/2020 POST TEST MAD: TEAM TEACHING COMPETENCY APPRAISAL 2 4/29/2020 POST TEST MAD: TEAM TEACHING COMPETENCY APPRAISAL 2
pts Suppression
Question 7
Denial
1. A client is admitted to a mental health unit for
treatment of psychotic behaviour. The client is at Displacement
the locked exit door and is shouting. “Let me out.
There’s nothing wrong with me. I don’t belong Ego defense mechanism s are operations
here.” The nurse analyzes the behaviour as: outside of the person’s awareness that the
ego calls to play to protect against anxiety.
Displacement is the discharging of pent-up
Rationalization feelings on persons less threatening than
those who initially aroused the emotion.
Regression
Projection
Denial Question 9 pts
Denial is the refusal to admit a painful reality
which is treated as if it does not exists. The client says to the nurse. “I’m going to die, and I
wish my family will stop hoping for a cure! I get so
angry when they carry on like this. After all, I’m the
one who’s dying.” The therapeutic response by the
nurse is:
Question 8 pts
“You’re feeling angry that your family continues to
The supervisor reprimands the nurse in charge of hope for you to be cured?”
the nursing unit because the charge nurse has not
adhered to the unit budget. Later that afternoon, the
charge nurse accuses the nursing staff of wasting Restating is the therapeutic communication
supplies. This behaviour is an example of: technique in which the nurse repeats what the
client says to show understanding and to
review what was said.
Repression
https://feu.instructure.com/courses/44669/quizzes/134606 7/77 https://feu.instructure.com/courses/44669/quizzes/134606 8/77