1.A person speaking about a rival for a significant other’s affection says in an emotional,
syrupy voice, “what a lovely person. That’s someone I simply adore.” The individual is
demonstrating: (3 Points)
Passive-Aggressive
Reaction formation
Denial
Projection
Rationalization
Introjection
2.A nurse is caring for a patient in an urgent care center who has traumatic injuries following
sexual assault. She sits quietly and calmly in the examination room. When seen by the nurse,
the patient is very friendly and has a bright affect. The nurse should recognize this behavior as
which of the following reactions?
(3 Points)
Displacement
Denial
Introjection
Undoing
3.Identify the correct defense mechanism based on the definition provided: modification of
an instinctual but socially unacceptable impulse into constructive, acceptable behavior.
(3 Points)
Sublimation
Reaction Formation
Isolation of affect
Displacement
Splitting
Acting out
4.The nurse has been working with a victim of rape in an outpatient setting for the past 4
weeks. The nurse should identify that which client objective is an unrealistic short-term goal?
(3 Points)
The client will participate in the treatment plan by following through with treatment options
, The client will verbalize feelings about the rape event
The client will experience physical healing from the wounds that were incurred during the rape
The client will resolve all feelings of fear and anxiety related to the rape trauma
5.A patient experiencing significant stress associated with a disturbing new medical diagnosis
asks the nurse “do you think saying a prayer would help?”. Select the nurse’s best answer.
(3 Points)
You may find prayer gives comfort and lowers stress
It could be that prayer is your only hope
We do not have evidence that prayer helps but it wouldn’t hurt
I can help you feel calmer by teaching you meditation exercises instead
6.A child was placed in a foster home after being removed from abusive parents. The child is
apprehensive and overreacts to environmental stimuli. The foster parents ask the nurse how to
help the child. Which interventions should the nurse suggest? Select all that apply.
(3 Points)
Use a calm manner and low voice.
Maintain simplicity in the environment.
Avoid repetition in what is said to the child.
Reduce opportunities for exercise and play.
Explain and reinforce reality to avoid distortions.
7.A nurse assesses an individual who commonly experiences anxiety. Which comment by
this person indicates the possibility of obsessive-compulsive disorder?
(3 Points)
“I’m embarrassed to go out in public.”
“My legs often feel weak and spastic.”
“I check where my car keys are eight times.”
“I keep reliving a car accident that happened five years ago.”
8.A client checks and rechecks electrical cords related to an obsessional thought that the
house may burn down. The nurse and patient explore the likelihood of an actual fire. The
patient states this event is not likely to happen. This counseling demonstrates principals of:
syrupy voice, “what a lovely person. That’s someone I simply adore.” The individual is
demonstrating: (3 Points)
Passive-Aggressive
Reaction formation
Denial
Projection
Rationalization
Introjection
2.A nurse is caring for a patient in an urgent care center who has traumatic injuries following
sexual assault. She sits quietly and calmly in the examination room. When seen by the nurse,
the patient is very friendly and has a bright affect. The nurse should recognize this behavior as
which of the following reactions?
(3 Points)
Displacement
Denial
Introjection
Undoing
3.Identify the correct defense mechanism based on the definition provided: modification of
an instinctual but socially unacceptable impulse into constructive, acceptable behavior.
(3 Points)
Sublimation
Reaction Formation
Isolation of affect
Displacement
Splitting
Acting out
4.The nurse has been working with a victim of rape in an outpatient setting for the past 4
weeks. The nurse should identify that which client objective is an unrealistic short-term goal?
(3 Points)
The client will participate in the treatment plan by following through with treatment options
, The client will verbalize feelings about the rape event
The client will experience physical healing from the wounds that were incurred during the rape
The client will resolve all feelings of fear and anxiety related to the rape trauma
5.A patient experiencing significant stress associated with a disturbing new medical diagnosis
asks the nurse “do you think saying a prayer would help?”. Select the nurse’s best answer.
(3 Points)
You may find prayer gives comfort and lowers stress
It could be that prayer is your only hope
We do not have evidence that prayer helps but it wouldn’t hurt
I can help you feel calmer by teaching you meditation exercises instead
6.A child was placed in a foster home after being removed from abusive parents. The child is
apprehensive and overreacts to environmental stimuli. The foster parents ask the nurse how to
help the child. Which interventions should the nurse suggest? Select all that apply.
(3 Points)
Use a calm manner and low voice.
Maintain simplicity in the environment.
Avoid repetition in what is said to the child.
Reduce opportunities for exercise and play.
Explain and reinforce reality to avoid distortions.
7.A nurse assesses an individual who commonly experiences anxiety. Which comment by
this person indicates the possibility of obsessive-compulsive disorder?
(3 Points)
“I’m embarrassed to go out in public.”
“My legs often feel weak and spastic.”
“I check where my car keys are eight times.”
“I keep reliving a car accident that happened five years ago.”
8.A client checks and rechecks electrical cords related to an obsessional thought that the
house may burn down. The nurse and patient explore the likelihood of an actual fire. The
patient states this event is not likely to happen. This counseling demonstrates principals of:
