1. Questions
1. 1.ID: 9477081360
The mother of a 3-year-old child tells the nurse that her child hit her doll after
the mother scolded her for picking
... [Show More] the neighbors’ flowers. Which defense
mechanism used by the child does the nurse identify in the mother’s report?
A. Projection
B. Sublimation
C. Displacement Correct
D. Identification
Rationale: The defense mechanism of displacement involves the discharge of
intense feelings for one person onto a substitute person or object that is less
threatening to satisfy an impulse. Projection involves attributing an attitude,
behavior, or impulse, such as that which occurs in blaming or scapegoating, to
someone else. Sublimation is the act of rechanneling an impulse into a more
socially acceptable object. Identification involves modeling behavior after
someone else's.
Test-Taking Strategy: Note the subject of the question, defense mechanisms.
Focusing on the data in the question and the child’s behavior will direct you to
the correct option. Review: these defense mechanisms .
Reference: Varcarolis, E., & Halter, M. (2009). Essentials of psychiatric mental
health nursing: A communication approach to evidence-based care (p. 133). St.
Louis: Saunders.
Cognitive Ability: Understanding
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Assessment
Content Area: Mental Health
Giddens Concepts: Development, Mood and Affect
HESI Concepts: Developmental, Mood and Affect
Awarded 1.0 points out of 1.0 possible points.
2. 2.ID: 9477084316
A client says to the nurse, “I’ve been following my diet and taking my
medication. What else do you want to talk about today?” Which response
would be most helpful during the working phase of the therapeutic alliance?
A. “Sounds fine to me. Let’s meet again in 6 months.”
B. “I don’t believe that you have been following your diet, because
you haven’t lost any weight.”
C. “Well, you’ve talked about diet in your terms, but perhaps I
should test you on specific things.”
Extra Credit HESI Module 3 – Mental Health Concepts
D. “Some people have added exercise to diet and medication
therapy and gotten positive results. Do you think that this would
work for you?” Correct
Rationale: Although suggestion or overt giving of advice is sometimes
nontherapeutic, these strategies are therapeutic when used in the working
phase, because in this situation they will increase the client’s perception of all
available options in the treatment plan. Answering, “Sounds fine to me. Let’s
meet again in 6 months” stops the communication process. Stating to the client
that he or she has not lost any weight implies disbelief and does not explore
the reasons for the client’s failure to lose weight. “Testing” challenges the client
and is nontherapeutic.
Test-Taking Strategy: Note the strategic word “most” and remember therapeutic
communication techniques. Noting the words “working phase” in the question
will direct you to the correct option. Review: therapeutic communication
techniques .
Reference: Stuart, G. (2009). Principles & practice of psychiatric nursing (9th
ed., pp. 27-31, 553). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
Content Area: Mental Health
Giddens Concepts: Communication, Health Promotion
HESI Concepts: Communication, Health, Wellness, and Illness—Health
Promotion
Awarded 1.0 points out of 1.0 possible points. [Show Less]