NURS 355 Final Exam / NURS355 Exam final solution guide_Answered.

NURS 355 Final Exam / NURS355 Exam final solution guide, Answered. A nurse is assessing a set of 15-year-old identical twins who respond very differently to stress. One twin becomes anxious and irritable, and the other withdraws and cries. How should the nurse explain these different stress responses to the parents a. Reactions to stress are relative rather than absolute; individual responses to stress vary. b. It is abnormal for identical twins to react differently to similar stressors. c. Identical twins should share the same temperament and respond similarly to stress. d. Environmental influences to stress weigh more heavily than genetic influences. - a. Reactions to stress are relative rather than absolute; individual responses to stress vary The nurse should explain to the parents that, although the twins have identical DNA, there are several other factors that affect reactions to stress. Mental health is a state of being that is relative to the individual client. Environmental influences and temperament can affect stress reactions. A fourth-grade boy teases and makes jokes about a cute girl in his class. This behavior should be identified by a nurse as indicative of which defense mechanism? a. Displacement b. Projection c. Reaction formation d. Sublimation - c. Reaction formation The nurse should identify that the boy is using reaction formation as a defense mechanism. Reaction formation is the attempt to prevent undesirable thoughts from being expressed by expressing opposite thoughts or behaviors. Displacement refers to transferring feelings from one target to another. Rationalization refers to making excuses to justify behavior. Projection refers to the attribution of unacceptable feelings or behaviors to another person. Sublimation refers to channeling unacceptable drives or impulses into more constructive, acceptable activities. Which nursing statement about the concept of neurosis is most accurate? a. An individual experiencing neurosis is unaware that he or she is experiencing distress.