The nurse is developing a care plan for a mentally ill patient. The nurses' first priority would be to assess:

Coping devices

Emotional status

Nutritional status

Medications taken

Answer and Explanation

The Correct Answer is A

A. Coping devices

Understanding how the patient manages stress and what coping mechanisms they use helps the nurse determine risk, stability, and intervention needs. It sets the stage for individualized care planning.

B. Emotional status

Important, but emotional status is often reflected in coping ability. Coping mechanisms give more actionable insights for planning.

C. Nutritional status

This may be prioritized in some physical health settings but is secondary in a mental health crisis unless the patient is severely malnourished.

D. Medications taken

While medication reconciliation is important, it does not take precedence over assessing how the patient is handling their current crisis or stressors.

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Correct Answer is B

Explanation

A. Superid

This is not a recognized term in Freud's theory. Likely a distractor or typo.

B. Id

According to Freud, the id is present at birth and is the primitive, instinctual part of personality focused on immediate gratification (pleasure principle).

C. Superego

The superego develops later in childhood and represents the internalized values and morals of caregivers and society.

D. Ego

The ego emerges after the id to help the child interact with reality using the reality principle, but it is not the dominant part at birth.

A. "Ms. Smith, you're wrong about that. Of course, we care." B. "Ms. Smith, maybe the doctor can change the dosage of your medication. That will make you feel better." C. "I care or I wouldn't continue to work here." D. "Like nobody cares? Please tell me more about what you are feeling.”

Correct Answer is D

Explanation

A. “Ms. Smith, you're wrong about that. Of course, we care.”

This is dismissive and invalidates her feelings. It shuts down communication rather than exploring her emotions.

B. “Ms. Smith, maybe the doctor can change the dosage of your medication. That will make you feel better.”

This jumps to a solution without first understanding the cause of her feelings. It also medicalizes emotional distress prematurely.

C. “I care or I wouldn't continue to work here.”

This response shifts focus to the nurse and may appear defensive or self-serving.

D. “Like nobody cares? Please tell me more about what you are feeling.”

This is a therapeutic response that encourages Ms. Smith to open up and feel heard. It uses reflection and invites further discussion.

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The nurse is developing a care plan for a mentally ill patient. The nurses' first priority would be to assess:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Looking at Freud's personality structure, one realizes that the newborn infant's personality is primarily

Correct Answer is B

Explanation

Your patient, who is usually very talkative, does not respond to you when you enter the room, When asked why she is so quiet today. Ms. Smith responds, "I feel like nobody cares." Which response below is the best one for you to say to Ms. Smith?

Correct Answer is D

Explanation

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In a lifetime pattern, any event that requires change and produces a nonspecific response of the body is called:

Seeking ways to deal w stress and resolve it leads the patient to learn to use a strategy called:

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When the patient is experiencing situations which interfere with goal-directed activity, this may result in

The patient who is admitted to the hospital feeling poorly may adjust to this illness by assuming a role that allows him to be excused from everyday responsibilities. This role is called the

Mrs. S consciously pushes unwelcome memories of a troubled first marriage into her subconscious mind as she attempts to begin a new relationship. This is termed