Impaired body image is characterized with avoidance and hiding of the affected bodily part, a focus and emphasis on the client's past body image, depersonalization of self, subjective client statements that indicate a loss, and feelings of helplessness and hopelessness. Patients with no effective coping mechanisms must be taught about new and more effective ways to cope with stress and stressors. In order to register for the NCLEX, the candidate must first request a license/registration application from the BON/RB. Coping mechanisms that were effective in the past are often disregarded in response to the pain of a loss B. ____ 1. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of coping mechanisms in order to: When assessing the client perception of the precipitating event that led to the crisis, which is the most appropriate question? Commonly used coping mechanisms include changing one's perception of the issue at hand, using humor, using problem solving skills, employing stress management and relaxation techniques, seeking out and using the support of others, ventilating feelings, embarking on a physical exercise and activity routine, decreasing personal expectations, and avoiding self-blame. A mother of two goes in for her yearly checkup. 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. Your patient is sternly criticized by her doctor for not complying with the medication regimen. Text Mode – Text version of the exam 1. Anger is often displaced onto another as will be discussed below under the section entitled "Evaluating the Constructive Use of Defense Mechanisms by a Client". 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. Chapter 7: Coping and Defense Mechanisms Multiple Choice Identify the choice that best completes the statement or answers the question. 10. Is the client exhibiting any objective or subjective signs and symptoms such as those associated with anxiety, stress, grief and/or distress? She got her bachelor’s of science in nursing with Excelsior College, a part of the New York State University and immediately upon graduation she began graduate school at Adelphi University on Long Island, New York. All changes threaten the homeostasis of the human being. 7. Domestic Violence 6. Schizoid Personality Disorder 10. 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. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. As with other NCLEX-RN® exam questions, one of the biggest errors that test takers commit when trying to answer this … Select All That Apply. Stress significantly and adversely impacts on the wholistic client and their physical, mental and social health and wellbeing. More details about grief and loss will be provided in a later section of this NCLEX-RN review under the section entitled "Grief and Loss". ... An expected coping mechanism. She began her work career as an elementary school teacher in New York City and later attended Queensborough Community College for her associate degree in nursing. 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. This may be an example of which defense mechanism? PLEASE NOTE: The contents of this website are for informational purposes only. And healthy defense mechanisms are positive, healthy ways of coping with anxiety. All trademarks are the property of their respective trademark holders. Now, there are dozens of examples of coping mechanisms. 6. The health care provider has started the client's treatment of depression with phenelzine. Answer: tremors, disorientation, fast heart rate and agitation. Application materials and licensing fees must be submitted to the BON/RB. Although grief is a normal, adaptive response to loss, complicated and unresolved grief is maladaptive. She graduated Summa Cum Laude from Adelphi with a double masters degree in both Nursing Education and Nursing Administration and immediately began the PhD in nursing coursework at the same university. The nurses will most likely advocate which belief as a method of coping with stressful life events? ... An ineffective defense mechanism. Search. Quizlet flashcards, activities and games help you improve your grades. A nurse at Nurseslabs Medical Center is developing a care plan for a female client with post-traumatic stress disorder. 4. A client expresses to the nurse that she constantly feels irritated and loses her temper. 1-35. questions. The psychological ego defense mechanisms, their purposes and some examples will be discussed now. Which defense mechanism allows an individual to return to a point in development when nurturing and dependency were needed and accepted with comfort? Mood Disorders 7. Test your knowledge of defense mechanisms in psychology with this quiz. The mother of a 38yr/old female recently died due to complications from a surgery which required an unexpected colostomy. d. Bright flashes of light Bright flashes of light or photopsia is a common symptom of retinal detachment. Examples of permanent and temporary changes are a physical disfigurement that occurs as the result of a bomb blast and a transient episode of depression or grief, respectively; examples of physical, psychological and social changes can include the loss of a breast secondary to breast cancer or alopecia secondary to therapeutic cancer chemotherapy, grief that occurs as the result of a loved one, and the loss of financial income, respectively; examples of moderate or mild and significantly powerful changes include the birth of a newborn into a previously childless family unit and the loss of a home as the result of a disaster like a cyclone or tornado; and examples of change that can be classified and categorized as situational and developmental or maturational are the loss of work and a salary as the result of an acute illness or accident and the empty nest syndrome that is often seen among middle aged clients as the children leave the home and the normal changes associated with the aging process and disabilities, respectively. The General Adaptation Syndrome theory describes the stages of stress and the effects of this stress on the human being. 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. Search. The ultimate purpose of defense mechanisms is to psychologically protect the client from unmanageable stress until the client is ready to cope with these stressors effectively and without any maladaptive mechanisms. Approximately 9% to 15% of the questions on the exam are focused on this topic. Marty is pacing and complains of racing thoughts. Topics covered in this practice test include Coping Mechanisms, Sensory/Perceptual Alterations, Therapeutic Medications, Cultural Awareness and Mental Health Concepts. Some of the areas that the registered nurse may explore, as based on the client's specific needs, can include: SEE - Psychosocial Integrity Practice Test Questions. According to Nagi, "Disability is a limitation in performing socially defined roles and tasks expected of an individual within a sociocultural and physical environment. Depression 5. 14. Avoidance of … 1. c. Sudden blindness It does not occur in the early stage. What therapies would the nurse discuss with the patient? These roles and tasks are organized in spheres of life activities such as those of the family or other interpersonal relations; work, employment, and other economic pursuits; and education, recreation, and self-care. 6. Personality Disorders 9. Life changes can be broadly classified and categorized as permanent or temporary, physical, psychological and social, mild to highly significant, and situational or maturational. It can be constructive or destructive, task oriented, or defense oriented, regulating the response to protect oneself. From handwashing techniques to client isolation, infection control covers topics of disease prevention, transmission, and management. Severe and unresolved depression can, in some cases, lead to suicidal and/or homicidal ideation. 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. The nurse is teaching a patient about therapies for Obsessive Compulsive Disorder. Stress occurs as the result of significant life events such as illness, divorce, moving, parenthood, financial problems, and the death of a loved one and it also can occur secondary to the daily stressors that occur in normal life. The NCLEX-PN is a PC versatile test (CAT), which means each question you answer accurately decides the trouble of the following inquiry, just as the general number of questions you will reply. She worked as a registered nurse in the critical care area of a local community hospital and, at this time, she was committed to become a nursing educator. Disulfiram Therapy 5. 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. 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. Alcohol Withdrawal 2. Coping mechanisms are learned; some are effective and others are not. 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. Remember that defense mechanisms serve a purpose and cannot be arbitrarily eliminated without being replaced by more adaptive coping mechanisms. Assessing the Client's Support Systems And Available Resources, Assessing the Abilities of the Client to Adapt to Temporary and Permanent Role Changes, Assessing the Client's Reactions and Responses to Acute and Chronic Illnesses Including Mental Illness, Assessing the Client in Coping with Life Changes and Providing Support, Identifying Situations Which May Necessitate Role Changes for a Client, Providing Support to the Client with An Unexpected Altered Body Image, Evaluating the Constructive Use of Defense Mechanisms by a Client, Evaluating Whether the Client has Successfully Adapted to Situational Role Changes, Post-Master’s Certificate Nurse Practitioner, Advanced Practice Registered Nurse (APRN), http://ptjournal.apta.org/content/86/5/726.full, Chemical and Other Dependencies/Substance Abuse Disorders, Cultural Awareness and Influences on Health, Religious and Spiritual Influences on Health, Psychosocial Integrity Practice Test Questions, Assess the client's support systems and available resources, Assess the client's ability to adapt to temporary/permanent role changes, Assess the client's reaction to a diagnosis of acute or chronic mental illness (e.g., rationalization, hopefulness, anger), Assess client in coping with life changes and provide support, Identify situations which may necessitate role changes for a client (e.g., spouse with chronic illness, death of parent), Provide support to the client with unexpected altered body image (e.g., alopecia), Evaluate the constructive use of defense mechanisms by a client, Evaluate whether the client has successfully adapted to situational role changes (e.g., accept dependency on others). The stage of resistance is characterized with the return of many physiological changes to their normal level in addition to maintained increased blood glucose, cortisol and adrenalin levels, increased blood pressure, cardiac rate and respiratory rate. The adverse effects of stress are intensified as based on the intensity of the stress, the duration of the stress, the effectiveness of the client's protective mechanisms against stress, and the effectiveness of the coping mechanisms that the client is using to cope with the stress. Coping is adaptive when it resolves the stress, and it is maladaptive when it does not resolve the stress and/or it creates further problems for the client. Coping Mechanism involves any effort to decrease the stress response. 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. 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. Ineffective coping-techniques people try are not successful or are hazardous; Excessive use of the defense mechanisms ... Ch. 17 Suicidal Client Review questions (NCLEX) 10 Terms. The nurse recognizes the signs and symptoms of which medical problem. Bulimia Nervosa 4. Updated/Verified: Nov 9, 2020 | RegisteredNursing.org Staff Writers. 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". That was a lot today for our lesson on defense mechanisms. Encourage the client to verbalize thoughts and feelings about the trauma. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of behavioral interventions in order to: Change affects not only individual clients, but it also affects and impacts on family units, groups, populations and communities, including the global community. Some of the nursing diagnoses associated with role performance and ineffective role performance include: Some of the interventions that are used to promote the client's ability to cope with role changes, both maturational and situational, include: Clients can be expectedly and predictably affected with an alteration of their bodily image along the life span and they can also be unpredictably affected with body image changes along the lifespan and they can be also be unpredictably and unexpectedly as the result of an illness, disease, disorder and some therapeutic treatments. Feelings about the trauma learn vocabulary, terms, and other study tools 52-year-old client... 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