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N450 Exam -3 Mental Health (1).
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- N450 - Ch. 3 - Principles Of Geriatrics
N450 Exam -3 Mental Health (1).
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N450 Exam #3 Mental HealthConversion - ANS-Putting forth extra effort to achieve in areas where one has real or imagined
deficiency.
Denial - ANS-Disowning consciously intolerable thoughts and impulses
Displacement - ANS-Feelings about one person are directed to another who is less threatening,
thereby satisfying an impulse with a substitute object
Disassociation - ANS-The blocking off of an anxiety-provoking event or period of time from the
conscious mind
Fantasy - ANS-Fixation: Never advancing to the next level of emotional development and
organization; the persistence in later life of interests and behavior patterns appropriate to an
earlier age
Identification - ANS-The unconscious attempt to change oneself to resemble an admired person
Compensation - ANS-Putting forth extra effort to achieve in areas where one has a real or
imagined deficiency.
Insulation - ANS-Withdrawing into passivity and becoming inaccessible to avoid further
threatening situations
Intellectualization - ANS-Excessive reasoning to avoid feelings; the thinking is disconnected
from feelings, and situations are dealt with at a cognitive level
Introjection - ANS-A type of identification in which the individual incorporates the traits or values
of another into himself or herself
Isolation - ANS-Response in which a person blocks feelings associated with an unpleasant
experience
Projection - ANS-Transferring one's internal feelings, thoughts, and unacceptable ideas and
traits to someone else
Rationalization - ANS-An attempt to make unacceptable feelings and behaviors acceptable by
justifying the behavior
Reaction formation - ANS-Developing conscious attitudes and behaviors and acting out
behaviors opposite to what one really feels
, Regression - ANS-Returning to an earlier developmental stage to express an impulse to deal
with anxiety
Repression - ANS-An unconscious process in which the client blocks undesirable and
unacceptable thoughts from conscious expression
Sublimation - ANS-Replacement of an unacceptable need, attitude, or emotion with one more
socially acceptable
Substitution - ANS-The replacement of a valued unacceptable object with an object that is more
acceptable to the ego
Suppression - ANS-The conscious, deliberate forgetting of unacceptable or painful thoughts,
ideas, and feelings
Symbolization - ANS-The conscious use of an idea or object to represent another actual event
or object; many times the meaning is not clear because the symbol may be representative of
something unconscious
Undoing - ANS-Engaging in behavior that is considered to be opposite of a previous
unacceptable behavior, thought, or feeling
The nurse is assigned to care for a client experiencing disturbed thought processes. The nurse
is told that the client believes that the food is being poisoned. Which communication technique
should the nurse plan to use to encourage the client to eat?
1. Open-ended questions and silence
2. Focusing on self-disclosure regarding food preferences
3. Stating the reasons that the client may not want to eat
4. Offering opinions about the necessity of adequate nutrition - ANS-1. Open-ended questions
and silence
Open-ended questions and silence are strategies used to encourage clients to discuss their
problem. Options 3 and 4 do not encourage the client to express feelings. The nurse should not
offer opinions and should not state the reasons but should encourage the client to identify the
reasons for the behavior. Option 2 is not a client-centered intervention.
The nurse is assigned to care for a client admitted to the hospital after sustaining an injury from
a house fire. The client attempted to save a neighbor involved in the fire, but despite the client's
efforts, the neighbor died. Which action should the nurse take to enable the client to work
through the meaning of the crisis?
1. Identifying the client's ability to function
2. Identifying the client's potential for self-harm
3. Inquiring about the client's feelings that may affect coping
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