Communication & Defense Mechanisms quiz
A client looks at a mirror and cries out, "I look like a bird. This is not my face." The nurse responds therapeutically by saying: a. that must be very distressing to you, your face does not look different to me b. maybe the light is playing tricks on you c. why do you think that you look like a bird d. what kind of a bird do you think you are
a
A supervisor assigns a worker a new project. The worker initially agrees but feels resentful. The next day when asked about the project, the worker says, "I've been working on other things." When asked 4 hours later, the worker says, "Someone else was using the copier, so I couldn't finish it." The worker's behavior demonstrates: a. passive aggression b. projection c. acting out d. rationalization
a
During the termination phase of the nurse-client relationship, the clinic nurse observes that the client continuously demonstrates bursts of anger. The most appropriate interpretation of the behavior is that the client... a. is displaying typical behaviors that can occur during termination b. needs to be admitted to the hospital c. needs to be referred to the psychiatrist as soon as possible d. requires further treatment and is not ready to be discharged
a
The nurse is preparing the client for the termination phase of the nurse-client relationship. The nurse prepares to implement which nursing task is most appropriate for this phase? a. making appropriate referrals b. developing realistic solutions c. identifying expected outcomes d. planning short term goals
a
Two staff nurses applied for promotion to nurse manager. The nurse not promoted initially had feelings of loss but then became supportive of the new manager by helping make the transition smooth and encouraging others. Which term best describes this nurse's response? a. altruism b. suppression c. sublimation d. passive aggression
a
When providing information which strategy is the most helpful? a. find out what the participants already know before giving info. b. providing data from research studies c. making sure the participants know you are the expert in this area d. make sure all the participants have the same question before informing
a
A benefit of using the style and skills of motivational interviewing in settings: a. provides praise to each individual b. increases individual's engagement c. saves time as all individuals are treated the same d. provides an assessment of their behaviors
b
A general principle of motivational interviewing is: a. expressing empathy through compassionate conversation b. problem solving for participants c. advising on what the participants should do d. providing data when giving information
b
A patient who is experiencing moderate anxiety says, "I feel undone." An appropriate response for the nurse would be: a. why do you suppose you are feeling anxious b. I'm not sure I understand. Give me an example c. what would you like me to do to help you d. you must get your feelings under control before we can continue
b
The client says to the nurse "I am going to die, I wish my family would stop hoping for a cure! I get so angry when they carry on like this! After all, I'm the one who's dying." The most therapeutic response is: a. you're feeling angry that your family continues to hope for you to be cured b. have you shared your feelings with your family? c. well it sounds like you're being pessimistic. after all years ago people died of pneumonia d. i think we should talk more about your anger with your family
b
An individual experiences sexual dysfunction and blames it on a partner by calling the person unattractive and unromantic. Which defense mechanism is evident? a. compensation b. introjection c. rationalization d. regression
c
The nurse is meeting a new client on the unit. Which action, by the nurse, is most effective in initiating the nurse-client relationship? a. describe the nurses family and ask the client to describe their family b. wait until the client indicates a readiness to establish a relationship c. introduce self and explain the purpose and the plan for the relationship d. asl the client why they were brought to the hospital
c
A client relates angrily to the nurse that his wife says he is selfish. Which response by the nurse would be most helpful? a. that's just her opinion b. I don't think that you are selfish c. everyone is a little bit selfish d. you sound angry - tell me more about what went on.
d
A person who feels unattractive repeatedly says, "Although I'm not beautiful, I am smart." This is an example of: a. identification b. devaluation c. repression d. compensation
d
A person who is speaking about a rival for a significant other's affection says in a gushy, syrupy voice, "What a lovely person. That's someone I simply adore." The individual is demonstrating: a. denial b. projection c. repression d. reaction formation
d
Mrs. F. has remained close to the nurse all day. When the nurse talked with other clients during dinner, Mrs. F. tried to regain the nurse's attention and began to shout, "You're just like my mother. You pay attention to everyone but me!" The best interpretation of this behavior is that... a. Mrs. F has been spoiled by her family b. the nurse has failed to meet Mrs. F's needs c. Mrs. F is exhibiting resistance d. Mrs. F. is demonstrating transference.
d
The most therapeutic response a nurse could make to a student who begins to cry upon learning that a failing grade was received on a final exam is: a. you will make it next time b. how close were you to passing c. it won't seem so important 5 years from now d. failing an exam is an upsetting thing to happen
d
The nurse is caring for a Native American client who says, "I don't want you to touch me. I'll take care of myself." Which nursing response is most therapeutic? a. if you don't want our care why did you come here b. ok if thats what you want. i will just leave this cup for you to collect your urine c. why are you being so difficult d. it sounds as though you want to take care of yourself. Let's work together so you can do things for yourself
d
