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NURS 355 Final Practice Exam questions with correct answers

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NURS 355 Final Practice Exam questions with correct answers

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  • October 17, 2024
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NURS 355 Final Practice Exam questions with correct
answers
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. Correct Answer-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 Correct Answer-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.
b.
An individual experiencing neurosis feels helpless to change his or her
situation.
c.
An individual neurosis is aware of psychological causes of his or her
behavior.
d.
An individual experiencing neurosis has a loss of contact with reality.
Correct Answer-b.
An individual experiencing neurosis feels helpless to change his or her
situation.


The nurse should define the concept of neurosis with the following
characteristics: The client feels helpless to change his or her situation,
the client is aware that he or she is experiencing distress, the client is
aware the behaviors are maladaptive, the client is unaware of the
psychological causes of the distress, and the client experiences no loss of
contact with reality.


How would a nurse best complete the new DSM-5 definition of a mental
disorder? "A health condition characterized by significant dysfunction in
an individual's cognitions, or behaviors that reflects a disturbance in the:

, a.
psychosoical, biological, or developmental process underlying mental
functioning."
b.
psychological, cognitive, or developmental process underlying mental
functioning."
c.
psychological, biological, or developmental process underlying mental
functioning."
d.
psychological, biological, or psychosocial process underlying mental
functioning." Correct Answer-c.
psychological, biological, or developmental process underlying mental
functioning."


"A health condition characterized by significant dysfunction in an
individual's cognitions, or behaviors that reflects a disturbance in the
psychological, biological, or developmental process underlying mental
functioning", is the new DSM-5 definition of a mental disorder.


A 9-month-old child screams every time his mother leaves and will not
tolerate anyone else changing his diaper. The nurse should determine
that, according to Mahler's developmental theory, this child's
development was arrested at which phase?


a.

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