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

Answer and Explanation

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.

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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.

A. Mania B. Anger C. Anty D. Depression

Correct Answer is C

Explanation

A. Mania

Mania is characterized by elevated mood, hyperactivity, impulsivity, and decreased need for sleep—not dread or apprehension.

B. Anger

Anger is a response to a perceived threat or frustration, often with outward expression—not internal apprehension or dread.

C. Anxiety

Anxiety is defined as a vague, uneasy feeling of tension, fear, or apprehension often without a clear cause.

D. Depression

Depression involves persistent sadness, hopelessness, and loss of interest—not specifically apprehension or dread.

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