Nursing Elites

1. Which behavior is most typical for clients with borderline personality disorder?

• A. Arrogant
• B. Eccentric
• C. Impulsive
• D. Dependent

Correct answer: C

Rationale: The correct answer is 'Impulsive.' Clients with borderline personality disorder often exhibit impulsive, potentially self-damaging behaviors. Arrogance is more characteristic of narcissistic personality disorder, eccentric behavior aligns with schizotypal personality disorder, and dependent behavior is typical of dependent personality disorder. Therefore, the key feature of borderline personality disorder is impulsivity.

2. During the beginning phase of a therapeutic relationship, why is a clear understanding of participants' roles important?

• A. Understanding what will be discussed
• B. Knowing that the nurse is trying to be helpful
• C. Knowing what to expect from the relationship
• D. Preparing for termination of the relationship

Correct answer: C

Rationale: During the initial stages of a therapeutic relationship, having a clear understanding of participants' roles is crucial as it helps in defining the structure and boundaries of the relationship. This clarity assists in setting expectations and establishing a framework for interaction, allowing the client to focus on the therapeutic process rather than on uncertainties regarding their role or the nurse's role. Option A, understanding what will be discussed, is important but not directly related to defining roles. Option B, knowing that the nurse is trying to be helpful, is about the intent of the nurse rather than the roles of the participants. Option D, preparing for termination of the relationship, is premature in the beginning phase and not directly related to understanding roles.

3. Which defense mechanism is considered a conscious measure used to cope with anxiety?

• A. Undoing
• B. Projection
• C. Suppression
• D. Intellectualization

Correct answer: C

Rationale: The correct answer is Suppression. Suppression is a conscious defense mechanism in which an individual intentionally avoids thinking about disturbing problems, wishes, feelings, or experiences. It is a way to cope with anxiety by actively pushing aside unwanted thoughts or emotions. Undoing, on the other hand, is an unconscious defense mechanism where one uses words or behaviors to symbolically make amends for unacceptable thoughts or actions. Projection is also an unconscious defense mechanism involving falsely attributing one's own unacceptable impulses to others. Intellectualization, another unconscious defense mechanism, involves using intellect or thinking to avoid dealing with emotionally charged feelings.

4. Before discharging an anxious client, which information about anxiety would the nurse teach the family?

• A. Anxiety is a totally unique feeling and experience.
• B. Apprehension is generalized to the total environment.
• C. Fears result from conscious actions, thoughts, and wishes.
• D. Anxiety is a pattern of emotional and behavioral responses to stress.

Correct answer: D

Rationale: Anxiety is a human response consisting of both physical and emotional changes that everyone experiences when faced with stressful situations. It is a pattern of emotional and behavioral responses to stress. Anxiety is a common experience for many individuals. Apprehension is usually related to a specific aspect of the environment rather than the total environment. Fears are not intentionally or consciously generated.

5. A client is being treated for anxiety and desires to be free from anxious feelings and despair. According to Maslow's hierarchy of needs, which level does this client need to meet?

• A. Physiological
• B. Safety
• C. Belonging
• D. Self-esteem

Correct answer: B

Rationale: According to Maslow's hierarchy of needs, safety needs come right after physiological needs. Safety needs include feelings of security and stability. When a client is treated for anxiety and seeks to be free from anxious feelings and despair, they are primarily aiming to meet their safety needs. By addressing anxiety and moving towards a sense of safety, the client can progress to addressing higher-level needs. Choices A, C, and D are incorrect in this scenario. Physiological needs (Choice A) refer to basic needs like food, water, and shelter. Belonging (Choice C) and self-esteem (Choice D) are higher-level needs in Maslow's hierarchy that come after safety needs. Therefore, the most appropriate level for the client in this case is safety.

Similar Questions