NURSING NR305 Mental Health Concepts Exam
Questions And Answers with rationales Rated A+
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Mental Health Concepts
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?
Projection
Sublimation
Displacement
Identification
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,
NURSING NR305 Mental Health Concepts Exam
Questions And Answers with rationales Rated A+
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,NURSING NR305 Mental Health Concepts Exam
Questions And Answers with rationales Rated A+
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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
NURSING NR305 Mental Health Concepts Exam
Questions And Answers with rationales Rated A+
Guaranteed Success Latest Update 2022
,NURSING NR305 Mental Health Concepts Exam
Questions And Answers with rationales Rated A+
Guaranteed Success Latest Update 2022
therapeutic alliance?
“I don’t believe that you have been following your diet, because
you haven’t lost any weight.”
“Some people have added exercise to diet and medication therapy
and gotten positive results. Do you think that this would work for
you?”
“Sounds fine to me. Let’s meet again in 6 months.”
“Well, you’ve talked about diet in your terms, but perhaps I should
NURSING NR305 Mental Health Concepts Exam
Questions And Answers with rationales Rated A+
Guaranteed Success Latest Update 2022
, NURSING NR305 Mental Health Concepts Exam
Questions And Answers with rationales Rated A+
Guaranteed Success Latest Update 2022
test you on specific things.”
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—
NURSING NR305 Mental Health Concepts Exam
Questions And Answers with rationales Rated A+
Guaranteed Success Latest Update 2022
Questions And Answers with rationales Rated A+
Guaranteed Success Latest Update 2022
Mental Health Concepts
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?
Projection
Sublimation
Displacement
Identification
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,
NURSING NR305 Mental Health Concepts Exam
Questions And Answers with rationales Rated A+
Guaranteed Success Latest Update 2022
,NURSING NR305 Mental Health Concepts Exam
Questions And Answers with rationales Rated A+
Guaranteed Success Latest Update 2022
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
NURSING NR305 Mental Health Concepts Exam
Questions And Answers with rationales Rated A+
Guaranteed Success Latest Update 2022
,NURSING NR305 Mental Health Concepts Exam
Questions And Answers with rationales Rated A+
Guaranteed Success Latest Update 2022
therapeutic alliance?
“I don’t believe that you have been following your diet, because
you haven’t lost any weight.”
“Some people have added exercise to diet and medication therapy
and gotten positive results. Do you think that this would work for
you?”
“Sounds fine to me. Let’s meet again in 6 months.”
“Well, you’ve talked about diet in your terms, but perhaps I should
NURSING NR305 Mental Health Concepts Exam
Questions And Answers with rationales Rated A+
Guaranteed Success Latest Update 2022
, NURSING NR305 Mental Health Concepts Exam
Questions And Answers with rationales Rated A+
Guaranteed Success Latest Update 2022
test you on specific things.”
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—
NURSING NR305 Mental Health Concepts Exam
Questions And Answers with rationales Rated A+
Guaranteed Success Latest Update 2022
