A nurse is caring for a client who states, "Whenever I have to give a presentation at my job, my vision goes really blurry and my feet go numb." Which of the following defense mechanisms is the client describing?

Displacement

Conversion

Rationalization

Identification

Answer and Explanation

The Correct Answer is B

A. Displacement: Displacement involves shifting emotions from one target to another (e.g., yelling at a coworker after being scolded by a boss).

B. Conversion: Conversion disorder is when emotional distress manifests as physical symptoms, such as blurred vision or numbness.

C. Rationalization: Rationalization is justifying behaviors or feelings with logical explanations (e.g., “I didn’t get the job because the interviewer was biased”).

D. Identification: Identification involves imitating behaviors of another person (e.g., a child mimicking a parent’s speech).

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Correct Answer is B

Explanation

A. The nurse describes what happened by providing general and broad details. Incident reports should be factual, objective, and specific, not general or vague.

B. The nurse includes the client's own words when describing what happened. Including direct quotes from the client ensures accuracy and avoids interpretation or bias.

C. The nurse describes what happened subjectively. Incident reports must be objective, avoiding personal opinions or assumptions.

D. The nurse includes the opinions of other team members. Only document observable facts and direct quotes—opinions should not be included.

A. "PAD does not allow a client to choose someone to make healthcare decisions on their behalf if they are unable to do so." B. "PAD is not a legally binding document, like a living will." C. "PAD is used by the majority of clients who have a mental illness." D. "PAD can include preferences for treatment, such as medications and preferred providers."

Correct Answer is D

Explanation

A. "PAD does not allow a client to choose someone to make healthcare decisions on their behalf if they are unable to do so." PADs can include the designation of a health care proxy or durable power of attorney for health care decisions.

B. "PAD is not a legally binding document, like a living will." PADs are legally recognized in many jurisdictions and serve a similar purpose to living wills for psychiatric care.

C. "PAD is used by the majority of clients who have a mental illness." While beneficial, PADs are not widely used by most individuals with mental illness.

D. "PAD can include preferences for treatment, such as medications and preferred providers." PADs allow clients to outline their treatment preferences, including medications and preferred health care providers, in case they lose decision-making capacity.

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A nurse is caring for a client who states, "Whenever I have to give a presentation at my job, my vision goes really blurry and my feet go numb." Which of the following defense mechanisms is the client describing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a mental health unit is preparing to document an incident that occurred involving a client. Which of the following considerations by the nurse will ensure competency in the documentation?

Correct Answer is B

Explanation

A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

Which statement by the newly hired staff member demonstrates an understanding of the legal guidelines for caring for clients on a mental health unit?

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