The Psychiatrist calls Jake’s father to obtain collateral information, pending Jake’s discharge home. Jake’s father reports Jake’s mother died when he was 14 years old. Jake is unable to tell the nurse or Psychiatrist how old he was or the year she died. Which defense mechanism is being depicted?

Regression

Projection

Repression

Suppression

Answer and Explanation

The Correct Answer is C

Choice A reason:
Regression involves reverting to an earlier stage of development in response to stress. This defense mechanism is not indicated by Jake’s inability to recall specific details about his mother’s death.
Choice B reason:
Projection involves attributing one’s own unacceptable thoughts, feelings, or flaws to others. This defense mechanism does not explain Jake’s inability to remember details about his mother’s death.
Choice C reason:
Repression is a defense mechanism where distressing memories, thoughts, or feelings are unconsciously pushed out of conscious awareness. Jake’s inability to recall how old he was or the year his mother died suggests that he may be repressing these painful memories.
Choice D reason:
Suppression is a conscious effort to push distressing thoughts or feelings out of awareness. Since Jake is unable to recall specific details, it is more likely that repression, an unconscious process, is at play.

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Correct Answer is A

Explanation

Choice A reason:
This statement is supportive and realistic. It acknowledges that while complete symptom elimination may not be possible, adherence to the treatment plan can still significantly improve the client’s quality of life. It encourages the client to continue with their treatment in a positive and hopeful manner.

Choice B reason:
This statement is confrontational and may make the client feel defensive. It does not provide support or encouragement and may hinder the therapeutic relationship.

Choice C reason:
This statement is misleading and dismissive. The medical model does not guarantee the elimination of all symptoms, and suggesting the client see another doctor may undermine their confidence in the current treatment plan.

Choice D reason:
This statement is negative and may discourage the client. It implies that the client will not improve and suggests a drastic change without offering hope or support for their current treatment plan.

A. Dependence on parents to participate in the client’s care B. A need for continued intensive monitoring in the home C. A decrease in admission frequency to inpatient psychiatric hospitals D. A need for crisis intervention services on an ongoing basis

Correct Answer is C

Explanation

Choice A reason:
Dependence on parents to participate in the client’s care indicates that the client is not progressing towards independence. Effective in-home mental health care aims to empower clients to manage their own health and reduce reliance on others. Therefore, this response does not demonstrate effective care.
Choice B reason:
A need for continued intensive monitoring in the home suggests that the client’s condition remains unstable and requires constant supervision. Effective care should lead to improved stability and a reduction in the need for intensive monitoring.
Choice C reason:
A decrease in admission frequency to inpatient psychiatric hospitals indicates that the client’s condition is stabilizing and that they are managing their mental health more effectively at home. This outcome demonstrates that the in-home mental health care is effective in reducing the need for hospitalization.
Choice D reason:
A need for crisis intervention services on an ongoing basis suggests that the client continues to experience frequent crises. Effective in-home mental health care should help the client develop coping strategies and support systems to manage their condition, reducing the need for frequent crisis interventions.

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Naxlex Comprehensive Predictor Exams

A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?

Correct Answer is A

Explanation

A nurse is providing in-home mental health care and determines that the care is effective when the client demonstrates which response?

Correct Answer is C

Explanation

A nurse is caring for a client who has bipolar disorder. The client says to the nurse, “Give me your pen to cut the pain out of my chest.” The nurse should identify that the client is at risk for which of the following?

A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?

When engaged in therapeutic communication with a client who has been diagnosed with a mental disorder, which is the most important principle for a nurse to keep in mind?

After experiencing increasing conflict in the home, a social worker calls and schedules a therapy meeting. A 24-year-old, his sister, his mother, and the mother’s live-in boyfriend are asked to attend the therapy meeting. Who is the “client” who will be treated during this session?

A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.)

A nursing instructor is describing the impact of technology and electronic health records on psychiatric-mental health care. What would the instructor identify as a major challenge associated with technology?

A nurse is preparing to assist with electroconvulsive therapy (ECT). Which of the following pieces of equipment should the nurse set up in the room prior to the treatment? (Select all that apply)