Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) (Quiz Score: 95.75 out of 100)
Course
HESI VN TXGRP 1912COHORT
Institution
HESI VN TXGRP 1912COHORT
Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39)
(Quiz Score: 95.75 out of 100)
Question 1
1 / 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 ...
7/19/2021 Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) https://concorde.instructure.com/courses/18612/quizzes/83923?module_item_id=1519719 1/146 Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) (Quiz Score: 95.75 out of 100) 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 C
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ct! 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, 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: Use the process of elimination and knowledge regarding the subject, 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 if you had di fficulty with this question. Cognitive Ability: Understanding Client Needs: Psychosocial Integrity 7/19/2021 Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) https://concorde.instructure.com/courses/18612/quizzes/83923?module_item_id=1519719 2/146 Integrated Process: Nursing Process/Data Collection Content Area: Mental Health Question 2 pts 7/19/2021 Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) https://concorde.instructure.com/courses/18612/quizzes/83923?module_item_id=1519719 3/146 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? “Sounds fine to me. Let’s meet again in 6 months.” “I don’t believe that you have been following your diet because you haven’t lost any weight.” “Well, you’ve talked about diet in your terms, but perhaps I should test you on specific things.” C
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ct! “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. St ating 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: Use the process of elimination and therapeutic communication techniques. Noting the words “working phase” in the question will direct you to the correct option. Review therapeutic communication techniques if you had difficulty with this question. Cognitive Ability: Applying Client Needs: Psychosocial Integrity Integrated Process: Communication and Documentation Content Area: Mental Health 7/19/2021 Module 3 Exam: HESI VN TXGRP 1912COHORT(VNE 39) https://concorde.instructure.com/courses/18612/quizzes/83923?module_item_id=1519719 4/146 Question 3 pts 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?” “If I were you, I’d begin with what you were doing this morning.” C
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ct! “Perhaps you can start by sharing some of your most recent concerns.” “Don’t worry. Everyone who comes in here for the first time feels reluctant to talk.”
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