Which component of the Mental Health Status Examination focuses on the way a person experiences reality?

Thinking/content of thought

Mood and affect

Judgment

Perception

Answer and Explanation

The Correct Answer is D

Choice A reason: Thinking/content of thought refers to the logical process of thought and coherence, not directly to the experience of reality.

Choice B reason: Mood and affect pertain to the emotional state and its expression, not the perception of reality.

Choice C reason: Judgment involves decision-making abilities and the evaluation of situations, not the perception of reality.

Choice D reason: Perception is the component that deals with how a person experiences reality, including any hallucinations or delusions they may have.

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Correct Answer is D

Explanation

Choice A reason: Euphoria is not typically a defense mechanism; it's a feeling of intense excitement and happiness.

Choice B reason: Depression is a mental health condition, not a defense mechanism.

Choice C reason: Manipulation can be a behavior exhibited by individuals with certain personality disorders, but it is not considered a primary defense mechanism.

Choice D reason: Projection is a defense mechanism where individuals attribute their own unacceptable thoughts, feelings, and motives to another person.

A. Empty the drain device every shift. B. Minimize use of the affected arm. C. Measure the circumference of both arms. D. Place the affected arm below the level of the heart.

Correct Answer is A

Explanation

Choice A reason: Emptying the drain device every shift is important to prevent infection and accumulation of fluid, which can impede healing.

Choice B reason: Minimizing use of the affected arm is not recommended; rather, gentle exercises to promote circulation and prevent lymphedema are usually encouraged.

Choice C reason: Measuring the circumference of both arms can be part of monitoring for lymphedema, but it is not the priority in immediate post-mastectomy care.

Choice D reason: Placing the affected arm below the level of the heart is not recommended as it can increase swelling; elevation is usually advised.

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Which component of the Mental Health Status Examination focuses on the way a person experiences reality?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A primary mechanism used by people with personality disorders is:

Correct Answer is D

Explanation

The nurse is providing care for a patient who had a mastectomy for breast cancer 2 days ago. What should the nurse include in the daily care?

Correct Answer is A

Explanation

Which of the following is a role of the LPN in the preoperative phase? Select all that apply.

A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the following effects?

Which of the following responses to anxiety is a cause for concern?

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The nurse is reviewing informed consent with a coworker. Which statement by the coworker would concern the nurse?

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A nurse is caring for a client who has paranoid delusions and believes the hospital food is being poisoned by the staff. Which meal presentation should the nurse consider to be an effective method of encouraging nutritional intake?