A patient in crisis tells the nurse he has feelings of helplessness and hopelessness. The nurse identifies that the patient is at risk for:
Leaving the hospital
Committing suicide
A decrease in activity
Refusing to eat
The Correct Answer is B
A. Leaving the hospital
Although some patients may leave against medical advice (AMA), helplessness and hopelessness are more directly associated with suicide risk, not elopement.
B. Committing suicide
Hopelessness and helplessness are strong indicators of suicidal ideation. These feelings suggest the patient may see no escape from their emotional pain.
C. A decrease in activity
While this could occur in depression, it is a less urgent concern than the immediate risk of suicide.
D. Refusing to eat
This may occur in some psychiatric conditions but is not as directly tied to feelings of hopelessness as suicidal ideation is.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Stress:
Stress is the body’s nonspecific response to any demand for change. It can be physical, emotional, or psychological.
B. Anxiety:
Anxiety is a subjective emotional response, often a symptom of stress but not the physiological process itself.
C. Anger:
Anger is an emotional response to frustration or perceived threat, not a nonspecific body response to change.
D. Depression:
Depression is a mood disorder and not a general response to change.
Correct Answer is C
Explanation
A. Depression:
Depression involves feelings of sadness, hopelessness, and lack of energy, not attributing one’s feelings to others.
B. Sublimation:
Sublimation is a positive defense mechanism where unacceptable impulses are transformed into constructive activities (e.g., channeling anger into sports).
C. Projection:
Projection is a defense mechanism where a person attributes their own unwanted feelings or traits onto others. Ms. J. feels inadequate but accuses coworkers of incompetence.
D. Phobia:
A phobia is an irrational fear of a specific object or situation. This scenario does not reflect fear, but rather misplaced feelings of inadequacy.
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