MH Managing Client Behaviors Flashcards
(32 cards)
Altruism
Dealing with anxiety by reaching out to others
Ex. Nurse who loses family in fire becomes volunteer firefighter
*Always adaptive, unless used inappropriately or repetitively
Sublimation
Dealing with unacceptable feelings or impulses by unconsciously substituting acceptable forms of expression
Ex. Stress at work, work out to decrease stress
*Always adaptive, unless used inappropriately or repetitively
Suppression
Voluntarily denying unpleasant thoughts and feelings
Ex. (A) avoiding thinking of argument with friend to focus on test
(M) Lost job, I’ll worry about bills next week
*can be used adaptively, but typically used maladaptively
Repression
Unconsciously putting unacceptable thoughts emotions out of awareness
Ex. (A) someone prepping for speech and unconsciously remembers the time when he was young, and kids laughed at him on stage
(M) someone who fears the dentist and forgets to go to appointments
*can be used adaptively, but typically used maladaptively
Regression
the sudden use of childlike or primitive behaviors that don’t correlate with a person’s current developmental level
Ex. (A) a child that wets the bed when their pet passes away
(M) Disagreement with coworker leads to throwing objects
*can be used adaptively, but typically used maladaptively
Displacement
Shifting emotions to object, person, situation to another less threatening object, person or situation
Ex. (A) adolescent that punches punching bag after game
(M) angry about losing job, destroys favorite toy
*can be used adaptively, but typically used maladaptively
Reaction formation
Overcompensation or demonstrating the opposite behavior of what is felt
Ex. (A) smoker who is trying to quit, repeatedly tells kids dangers of nicotine
(M) hate your neighbor, but tell everyone how great they are
*can be used adaptively, but typically used maladaptively
Undoing
Performing an act to make up for previous behavior
Ex. (A) child does chores after argument with parents who being asked
(M) man who buys his wife flowers, gifts after abusing her
*can be used adaptively, but typically used maladaptively
Rationalization
Creating reasonable and acceptable explanations for unacceptable behavior
Ex. (A) when rejected by a girl, a boy thinks she must have a bf
(M) teen had to drive home drunk to feed their dog
*can be used adaptively, but typically used maladaptively
Dissociation
Creating a temporary compartmentalization of lack of connection between the person’s identity, memory, or how they perceive the environment
Ex. (A) mother ignores rowdy children to focus on driving
(M) a woman who forgets who she is after a sexual assault
Denial
Pretending the truth isn’t reality to manage the anxiety of acknowledging what is real
Ex. (A) “No, that can’t be true” in response to positive cancer result
(M) son killed in combat and tells fam that son is coming home for holidays
*can be used adaptively, but typically used maladaptively
Compensation
Emphasizing strengths to make up for weakness
Ex. (A) child unable to physically participate in sports, excels in academics
(M) a shy person works at computer skills to avoid socialization
*can be used adaptively, but typically used maladaptively
Identification
Conscious/unconscious assumption of the characteristics of another individual or group
Ex. (A) girl with chronic illness acts as a nurse for her dolls
(M) child view father abusing mom, becomes a bully at school
*can be used adaptively, but typically used maladaptively
Intellectualization
Separation of emotions and logical facts when analyzing or coping with a situation or event
Ex. (A) cop who can block emotion to focus on investigation
(M) terminally ill person focuses on creating will, finances instead of acknowledging grief
*can be used adaptively, but typically used maladaptively
Conversion
responding to stress through the unconscious development of physical manifestations not caused by a physical illness
Ex. (M) a person who experiences deafness after partner tells him she wants a divorce
*Only maladaptive
Splitting
Demonstrating an inability to reconcile -/+ attributes of self, others
Ex. (M) clients says nurse is only one to care for her; but next day, refuses to talk to nurse
*only maladaptive
Projection
Attributing ones unacceptable thoughts, feelings onto another who doesn’t have them
Ex. (M) married woman who is attracted to another an accuses her husband of having an affair
*only maladaptive
A client with chronic ongoing stress complains of physical symptoms. The nurse is caring for him is aware that the most common chronic problem caused by stress is which of the following?
A. Nausea
B. Headaches
C. Chest pain
D. Depressed mood
B. Headaches
Stress reduction is likely to result in which of the following? SATA.
A. Reduced pain
B. Lower BP
C. Decreased cognitive function
D. Decreased GI problems
E. Terminal insomnia
A. Reduced pain
B. Lower BP
D. Decreased GI problems
What would a client experience during a progressive relaxation session?
A. Instruction in sequential tensing and relaxing of various muscle groups until the entire body is relaxed
B. Being attached to a machine that monitors a physical parameter and receiving audible feedback about the state of that parameter
C. Having a nurse enter the client’s energy field to rebalance it and bring harmony
D. Being led into a positive imaginary sensory experience
A. Instruction in sequential tensing and relaxing of various muscle groups until the entire body is relaxed
A patient nervously says, “Financial problems are stressing my marriage. I’ve heard rumors about cutbacks at work; I am afraid I might get laid off.” The patient’s pulse is 112/min; respirations are 26/minute; and BP is 166/88. Which nursing intervention will the nurse implement?
A. Advise the patient, “Go to sleep 30 to 60 minutes earlier each night to increase rest.”
B. Direct the patient in slow and deep breathing via use of a positive, repeated word.
C. Suggest the patient consider that a new job might be better than the present one
D. Tell the patient, “Relax by spending more time playing with your pet”
B. Direct the patient in slow and deep breathing via use of a positive, repeated word.
A 32-year-old male client is experiencing severe anxiety over a recent failed relationship. What nursing intervention should be given highest priority?
A. Give the client an anti-anxiety agent immediately
B. Offer him psychotherapy to calm him down
C. Take the client to a quiet environment
D. Place him in supervised seclusion immediately
C. Take the client to a quiet environment
A nurse is closely monitoring a newly admitted client who is anxious. At what anxiety level might this client become assaultive and a potential threat to himself and others?
A. Mild
B. Moderate
C. Severe
D. Panic
D. Panic
A 46-year old male client presents to an outpatient clinic requesting relief from symptoms of depression related to the death of his father. According to Erikson, which of the following areas of the client’s life would exhibit dysfunction with inability to achieve developmental milestones?
A. The client states that he spends most of his nights alone
B. The client has been experiencing difficulties submitting career related projects on time
C. The client recently declined to mentor a family friend’s son
D. The client reports feeling frustrated with his friends
B. The client has been experiencing difficulties submitting career related projects on time
