Around 12% questions in the NCLEX-PN examinationare based on this subject. Distress can manifest with client forgetfulness, irritability, restlessness, hyperactivity, and somatic complaints such as headaches and insomnia in addition to some of the signs and symptoms of stress as detailed above under the General Adaptation Syndrome. As with other NCLEX-RN® exam questions, one of the biggest errors that test takers commit when trying to answer this … ... An expected coping mechanism. Approximately 9% to 15% of the questions on the exam are focused on this topic. Facilitate more appropriate use of defense mechanisms. 14. Bipolar Disorder 2. What symptoms might the nurse see? Topics covered in this practice test include Coping Mechanisms, Sensory/Perceptual Alterations, Therapeutic Medications, Cultural Awareness and Mental Health Concepts. Medical-Surgical #1. 4. Depression: Depression commonly occurs as the result of an acute or chronic illness, including mental health disorders; depression can affect both the client and the family unit. Some of the signs and symptoms of fear include tachycardia, hypertension, pallor, dilated pupils, aggression, hostility and fatigue. Mania 6. Denial occurs when the client pushes the threatening situation into the subconscious so that the client is not forced to deal and cope with it until the client's psyche is better able to deal with it. Are the family members and other significant others participating in the care and support of the affected client? Nurses can help the patient to overcome and resolve their guilt by emotionally and spiritually supporting the client, by facilitating the client's ventilation of feelings, by encouraging the patient to change behaviors, and by encouraging the client to make necessary amends to others for their wrong doings. The nurse recognizes the signs and symptoms of which medical problem. As such, clients have to be able to effectively cope with physical, psychological, social, and economic changes in a healthy and adaptive way with coping. 13 After a health care provider has informed a patient that he has colon cancer, the nurse enters the room to find the patient gazing out the window in thought. As she is describing her symptoms the doctor realizes she is trembling and seems disoriented. Some of the normally occurring and predictable body image changes that occur along the life span include changes and events such as adolescent puberty, middle years female menopause, middle years male climacteric, and in the elder years when the normal changes of the aging process occur. The stage of exhaustion, which can lead to death, is characterized with the complete loss of and exhaustion of all the body's resources and mechanisms. Assessment data and information that should be collected in respect to the client's level of psychosocial functioning and coping mechanisms should entail the client's age at the onset of the coping disorder, the client's specific psychosocial signs and symptoms, the duration of these episodes, the number of episodes that required intense treatment, the client's family history of any psychiatric mental health disorders, the client's use of support systems, the effectiveness of these support systems, the client's utilization of available resources in their community, the effectiveness of these available resources in terms of the client's needs, the client's past coping mechanisms, and the client's current use of adaptive and effective and/or maladaptive and non effective coping strategies. C. "Would you like for me to sit down with you for a few minutes so you can talk about this?". All losses can be accompanied with grief. If destructive coping mechanism is happened, it often cause a mental health disorder because the person avoids the problem or stress that causes the disorder. Some of the maturational and developmental role changes and challenges along the life span include: Some of the situational role changes and challenges include those physical, psychological and social changes that occur as the result of some acute or chronic disorder or disease. Models of Chronic Illness: Two examples of chronic illness models and theories are the Self in Chronic Illness and Time and the Chronic Illness Trajectory theories or models. Coping can be adaptive and it can also be useless and maladaptive. Avoidance of … Some of the signs and symptoms of maladaptive coping, in addition to the signs and symptoms associated with the General Adaptation Syndrome, include subjective complaints of not feeling or believing that one is able to cope. The nurse is interviewing a client with complaints of chronic fatigue. Denial: Denial, like rationalization and displacement, is another psychological defense mechanism. Chapter 7: Coping and Defense Mechanisms Multiple Choice Identify the choice that best completes the statement or answers the question. A college student presents to the counseling center because they are having difficulty dealing with having been informed that, due to continued poor grades, they are being dismissed from the college. C. If my instructor had let me make up the exam I missed, I wouldn't be in this situation.". Individual's definition of the situation and reactions, which at times compound the limitations; Definition of the situation by others, and their reactions and expectations—especially those who are significant in the lives of the person with the disabling condition (e.g., family members, friends and associates, employers and co-workers, and organizations and professions that provide services and benefits); and, Characteristics of the environment and the degree to which it is free from, or encumbered with, physical and sociocultural barriers" (. She has also been suffering from diarrhea, nausea, and heart palpitations. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of coping mechanisms in order to: Simply defined, coping, is the patient's ability to institute, maintain and regain psychological homeostasis when this homeostasis is disrupted for one reason or another. Despite the nature of the particular change, all changes have to be coped with. Over 200 free NCLEX-RN exam practice test questions with thorough rationales for explanation of answers to help give you a leg up for the special day. The daughter is exhibiting which defense mechanism? Marty is pacing and complains of racing thoughts. Two standardized assessment measurement tools that can be used to collect psychosocial data and information are the "Interval Follow Up Evaluation" and the "Range of Impaired Functioning" tool which assess and measure the client's level of functioning in terms of their interpersonal relationships, their work, their leisure and recreational activities, and their overall level of satisfaction with life over time as well as the measurement and assessment of these same variables at the current time, respectively. Distress can be characterized with signs and symptoms such as irritability, insomnia and social withdrawal. Now, there are dozens of examples of coping mechanisms. Test your knowledge of defense mechanisms in psychology with this quiz. Concepts and topics included in this practice exam are as follows: 1. Guilt: The ultimate purpose of guilt is to let a human know and gain insight into something that they have done that is wrong. Major traumatic accidents that lead to disfigurement and/or physical disability, alopecia secondary to cancer chemotherapy treatments, a loss of cognitive functioning, disfiguring surgeries such as a radical mastectomy and an orchiectomy, and therapeutic interventions such as a structural fecal diversion colostomy are examples of unexpected and unpredicted altered bodily image changes. Some of these role changes are maturational or developmental and others are situational. Grief: Grief, as defined by the North American Nursing Diagnosis Association (NANDA), is the "normal complex process that includes emotional, physical, spiritual and intellectual responses and behaviors by which the individuals, families, and communities incorporate a loss into their daily lives". Suicidal Behavior In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of coping mechanisms in order to: Most Read ... 31 Defense Mechanisms A look at common defense mechanisms we employ to protect the ego. Rationalization: Rationalization occurs when the client explains away the threatening event or situation with faulty thinking rather than dealing and coping with it. Which of the following would she do initially? The General Adaptation Syndrome theory describes the stages of stress and the effects of this stress on the human being. Topics covered in this NCLEX-RN practice test for Psychological Integrity include Coping Mechanisms, Sensory/Perceptual Alterations, Therapeutic Medications, Cultural Awareness, and Mental Health Concepts. Therefore, there are anyplace somewhere in the range of 85 and 205 inquiries on the NCLEX-PN. Alcohol Withdrawal 2. The topics covered under the category also include substance abuse, coping mechanisms and related stuff which leads to problems like different types of mental disorders and depression. Start Quiz % Share: Share Tweet Stumble Upon Pin It +1. Some of the interventions that are often used among clients who are affected with an impaired body image include encouraging the client to express and ventilate their feelings about the alteration, facilitating the client's coping with this alteration and some of the resulting feelings such as depression, anger, hopelessness and helplessness, facilitating the client to learn and develop more realistic expectation of self in terms of their body image, and focusing on the client's strengths and abilities, rather than these alterations and their weaknesses. A loss of hope and meaning has physical, psychological, spiritual and social consequences such as distress, apathy, impaired appetite, passivity, withdrawal, a lack of motivation, spiritual distress, despondency, psychological distress, and a lack of involvement by the client in terms of their activities of daily living and their plan of care. As she is describing her symptoms the doctor realizes she is trembling and seems disoriented. Encourage the client to verbalize thoughts and feelings about the trauma. Coping mechanisms that were effective in the past are often disregarded in response to the pain of a loss B. Severe eye pain Retinal detachment is painless. Is the client now experiencing self-satisfaction with their new or modified roles? Coping and stressors can also be assessed and measured with standardized tests like the "Hommes and Rahe Life Change Scale" and the "Lazarus Cognitive Appraisal Scale". After a complete assessment of the client's perception of their body image which can include the use of standardized assessment measurement scales such as the Body Image Quality of Life Inventory, the nurse will plan care for the client. Schizoid Personality Disorder 10. The nurse is conducting an initial assessment of a client in crisis. Some of the signs and symptoms associated with depression include feelings of helplessness, hopelessness, low self-esteem, decreased sense of self-worth, sadness, insomnia, poor problem solving and decision making processes, and decreased libido among other signs and symptoms. In addition to establishing a supportive and open client-nurse relationship, the nurse also establishes trust with the client and allows and encourages the client to openly ventilate their feelings in an environment that is nonjudgmental and supportive, and they also facilitate the client's learning and utilization of coping mechanisms such as: Role changes occur along the life span. ... An ineffective defense mechanism. Take this part three of the practice test about safety and infection control. 9. Although there are similarities with both anxiety and fear, there are also some distinct differences. After a complete focused assessment relating to the client and their responses to role changes, registered nurses plan interventions that are appropriate for the individual client and their assessed needs. b. Coping mechanisms are learned; some are effective and others are not. NCLEX-RN Sample Questions. This symptom can lead to physical, psychological and cognitive changes. 6. In order to register for the NCLEX, the candidate must first request a license/registration application from the BON/RB. A client expresses to the nurse that she constantly feels irritated and loses her temper. Personality Disorders 7. Since this is a review, answers and rationales are shown after you click on the "Check" button. A woman who was sexually assaulted a month ago presents to the emergency department with complaints of recurrent nightmares, fear of going to sleep, repeated vivid memories of the sexual assault, and inability to feel much emotion. Does the client have realistic expectations and goals for themselves? 7. Chapter 25: Stress and Coping Potter: Essentials for Nursing Practice, 8th Edition MULTIPLE CHOICE 1.A patient who was injured in a motor vehicle accident is taken via ambulance to the emergency department. 20 questions Defense Mechanisms Quiz. It can be constructive or destructive, task oriented, or defense oriented, regulating the response to protect oneself. Unresolved guilt, however, can lead to despair, distress, spiritual distress, physical signs and symptoms and psychological signs and symptoms. A person’s perception of a loss has little to do with the grieving process. 5. Complains to her doctor she has been unable to sleep lately. RN to BSN. Unhealthy adjustment patterns may include mechanisms such as regression, repression, denial, projection, and dissociation. A mother of two goes in for her yearly checkup. Suicidal Tendencies 10. 4.discuss commonly used coping behaviors and ego-defense mechanims 5. discuss the effects of prolonged stress on physical and spiritual well-being 6. id ex. Which statement by the student to the nurse counselor should indicate the use of the ego defense mechanism projection? For example, the loss of the use of a limb as the result of paralysis is a physical loss, the loss of a loved one and the loss of self-esteem are losses which can be accompanied with grief. Based on this fact, nurses and other health care professionals should never debate or argue with the client about their use of these subconscious ego defense mechanisms; they should not be stripped away until the client has garnered the psychological health and fortitude to deal with the threatening stress that they are confronted and affected with. What therapies would the nurse discuss with the patient? 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