Communications and Defense Quiz

A client relates angrily to the nurse that his wife says he is selfish. Which response by the nurse would be most helpful? Select one: a."Everyone is a little bit selfish." b."I don't think that you are selfish." c."You sound angry - tell me more about what went on." d."That's just her opinion."

C

A benefit of using the style and skills of motivational interviewing in settings: a.Increases individual's engagement b.Saves time as all individuals are treated the same c. Provides praise to each individual d. Provides an assessment of their behaviors

A

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... Select one: a.Mrs. F. is demonstrating transference. b.The nurse has failed to meet Mrs. F's needs. c.Mrs. F. is exhibiting resistance. d.Mrs. F. has been spoiled by her family.

A

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: Select one: a."Have you shared your feelings with your family?" b."I think we should talk more about your anger with your family." c."You're feeling angry that your family continues to hope for you to be cured." d."Well, it sounds like you're being pessimistic. After all, years ago people died of pneumonia."

A

A general principle of motivational interviewing is: a.Providing data when giving information b.Problem Solving for participants c.Advising on what the participant should do. d.Expressing empathy through compassionate conversation

B

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? Select one: a.Developing realistic solutions. b.Making appropriate referrals. c.Planning short term goals. d.Identifying expected outcomes

B

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. Passive aggression B. Altruism C. Sublimation D. Suppression

B. Altruism is the mechanism by which an individual deals with emotional conflict by meeting the needs of others and vicariously receiving gratification from the responses of others.

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: Select one: a.Acting out b.Passive aggression c.Projection d.Rationalization

B. A passive-aggressive person deals with emotional conflict by indirectly expressing aggression towards others. Compliance on the surface masks covert resistance. Resistance is expressed through procrastination, inefficiency, and stubbornness in response to assigned tasks.

A person who feels unattractive repeatedly says, "Although I'm not beautiful, I am smart." This is an example of: Select one: a.Devaluation b.Compensation c. Repression d.Identification

B. Compensation is an unconscious process that allows an individual to make up for deficits in one area by excelling in another area to raise self-esteem.

An individual experiences sexual dysfunction and blames it on a partner by calling the person unattractive and unromantic. Which defense mechanism is evident? Select one: a.Regression b.Rationalization c.Compensation d.Introjection

B. Rationalization involves unconsciously making excuses for one's behavior, inadequacies, or feelings.

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: Select one: a."What kind of a bird do you think you are?" b."Why do you think that you look like a bird?" c."That must be very distressing to you, your face does not look different to me." d."Maybe the light is playing tricks on you."

C

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... Select one: a.Needs to be referred to the psychiatrist as soon as possible. b.Needs to be admitted to the hospital. c.Is displaying typical behaviors that can occur during termination. d.Requires further treatment and is not ready to be discharged.

C

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: Select one: a."It won't seem so important 5 years from now." b."You'll make it next time." c."Failing an exam is an upsetting thing to happen." d."How close were you to passing?"

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? Select one: a.Ask the client why he/she was brought to the hospital. b.Describe the nurse's family and ask the client to describe his/her family. c.Introduce self and explain the purpose and the plan for the relationship. d.Wait until the client indicates a readiness to establish a relationship.

C

When providing information which strategy is the most helpful? a.Make sure the participants know you are the expert in this area b. Provide data from research studies c. Find out what the participants already know before giving information d. Make sure all the participants have the same question before informing

C

A patient who is experiencing moderate anxiety says, "I feel undone." An appropriate response for the nurse would be: Select one: a."What would you like me to do to help you?" b."You must get your feelings under control before we can continue." c."I'm not sure I understand. Give me an example." d. "Why do you suppose you are feeling anxious?"

C. Increased anxiety results in scattered thoughts an an inability to articulate clearly. Clarification helps the patient identify his or her thoughts and feelings.

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? Select one: a."Why are you being so difficult? I only want to help you." b."If you don't want our care, why did you come here?" c."Okay, if that's what you want. I'll just leave this cup for you to collect your urine." d."It sounds as though you want to take care of yourself. Let's work together so you can do things for yourself."

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: Select one: a. Projection b.Repression c.Denial d.Reaction formation

D. Reaction formation is an unconscious mechanism that keeps unacceptable feelings out of awareness by using the opposite behavior.