Psychology Coping Mechanisms and Defense Mechanisms Quiz

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Questions and Answers

What is the purpose of coping skills?

  • To enhance one's adaptations (correct)
  • To suppress negative emotions
  • To deny reality
  • To project emotions onto others

Which defense mechanism involves a person attributing their own thoughts and feelings onto someone else?

  • Sublimation
  • Displacement
  • Projection (correct)
  • Reaction formation

In which defense mechanism does a person transform their anxiety or emotions into socially acceptable pursuits?

  • Sublimation (correct)
  • Denial
  • Projection
  • Reaction formation

What is a characteristic of adaptive coping skills?

<p>Behaviors congruent with local norms (B)</p> Signup and view all the answers

Which behavior indicates successful adaptation to stress from internal and external environments?

<p>Showing thoughts and behaviors congruent with cultural norms (A)</p> Signup and view all the answers

What does a patient in the stage of denial fail to acknowledge?

<p>Reality of loss (C)</p> Signup and view all the answers

What does 'rapport' in the therapeutic relationship imply?

<p>Special feelings based on acceptance, warmth, and trust (B)</p> Signup and view all the answers

Which characteristic is essential for trust in a nurse-client relationship?

<p>Reliability, integrity, and sincerity (B)</p> Signup and view all the answers

What does 'genuineness' refer to in interactions with the patient?

<p>Being open, honest, and real (C)</p> Signup and view all the answers

Which action is part of the pre-interaction phase of the nurse-client relationship?

<p>Gather assessment data (D)</p> Signup and view all the answers

What is a key task during the orientation phase of the nurse-client relationship?

<p>Establishing a contract of intervention (B)</p> Signup and view all the answers

Which ability is crucial for nurses to have in a nurse-client relationship?

<p>Empathy - seeing beyond outward behavior (D)</p> Signup and view all the answers

Which type of suicide is characterized by the individual feeling separate and apart from society?

<p>Egoistic suicide (A)</p> Signup and view all the answers

What distinguishes altruistic suicide from egoistic suicide?

<p>Excessive integration into a group (B)</p> Signup and view all the answers

Which population is mentioned as having an alarming 41% lifetime prevalence of suicide?

<p>Transgender individuals (D)</p> Signup and view all the answers

Anomic suicide occurs in response to what type of changes in an individual's life?

<p>Changes that disrupt feelings of relatedness to a group (A)</p> Signup and view all the answers

What percentage of successful suicides are accounted for by women?

<p>30% (C)</p> Signup and view all the answers

What is the key priority assessment question to ask when caring for a patient with depression?

<p>Is there a history of depressive disorder in the family and has a close relative committed suicide? (B)</p> Signup and view all the answers

What is the main focus of focus charting in nursing documentation?

<p>Choosing a 'focus' for documentation based on a medical diagnosis (A)</p> Signup and view all the answers

What does 'A' stand for in the data, action, and response format of focus charting?

<p>Action (B)</p> Signup and view all the answers

Which documentation method uses the SOAPIE format?

<p>Problem-oriented recording (C)</p> Signup and view all the answers

What is the main difference between Advanced Practice Psychiatric Nurses and Registered Nurses in patient assessment?

<p>The scope of practice in psychiatric problem assessments (A)</p> Signup and view all the answers

What is the primary emphasis of autocratic leadership style?

<p>Leader-focused decision making and control over the team (B)</p> Signup and view all the answers

In nursing documentation, what does 'R' represent in the data, action, and response format of focus charting?

<p>Response (C)</p> Signup and view all the answers

What is the main purpose of the recovery model?

<p>To empower consumers to have primary control over their care decisions (C)</p> Signup and view all the answers

Which factor refers to the opportunity for group members to express both positive and negative feelings?

<p>Catharsis (C)</p> Signup and view all the answers

What does group cohesiveness help members develop?

<p>A sense of belonging within the group (C)</p> Signup and view all the answers

Which dimension of recovery involves overcoming or managing one's disease and living healthy in a physical and emotional manner?

<p>Health (A)</p> Signup and view all the answers

What is one of the benefits of group members who have mastered a particular skill serving as role models?

<p>It provides valuable examples for other members to follow (A)</p> Signup and view all the answers

Which factor involves assisting individual members in taking direction of their own lives and accepting responsibility for their existence?

<p>Existential factors (A)</p> Signup and view all the answers

Where in the brain is the limbic system located?

<p>Frontal lobe (D)</p> Signup and view all the answers

Which brain area plays a role in the expression of emotions?

<p>Temporal lobes (D)</p> Signup and view all the answers

What is the primary function of the occipital lobes in the brain?

<p>Visual reception and interpretation (D)</p> Signup and view all the answers

Which part of the brain is responsible for executive functioning?

<p>Prefrontal cortex (C)</p> Signup and view all the answers

What is the role of the temporal lobes in the brain?

<p>Managing auditory functions (D)</p> Signup and view all the answers

Which part of the brain is responsible for integration of visual, auditory, and righting reflexes?

<p>Mesencephalon (C)</p> Signup and view all the answers

What principle refers to the duty to always be truthful?

<p>Veracity (B)</p> Signup and view all the answers

'Beneficence' refers to which duty in healthcare?

<p>'Promoting good of others' (C)</p> Signup and view all the answers

Which leadership style is characterized by a focus on encouraging full participation from group members in problem-solving?

<p>Democratic (C)</p> Signup and view all the answers

Which therapeutic factor involves individuals realizing they are not alone in the problems, thoughts, and feelings they are experiencing?

<p>Universality (C)</p> Signup and view all the answers

Which of Yalom's therapeutic factors involves individuals providing assistance and support to each other, fostering positive self-image and self-growth?

<p>Altruism (A)</p> Signup and view all the answers

Which of the following is a characteristic of Laissez-Faire leadership?

<p>Low productivity and morale (B)</p> Signup and view all the answers

What does the 'Instillation of hope' therapeutic factor involve?

<p>Observing others' progress to garner hope (D)</p> Signup and view all the answers

Which factor allows group members to correct maladaptive social behaviors and learn new social skills?

<p>Development of socializing techniques (B)</p> Signup and view all the answers

In which type of leadership style are goals undefined and members do as they please?

<p>Laissez-Faire (D)</p> Signup and view all the answers

'Imparting of information' as a therapeutic factor involves what?

<p>'Sharing knowledge among group members' (B)</p> Signup and view all the answers

What is the main purpose of ego defense mechanisms?

<p>To test the strength of the ego (B)</p> Signup and view all the answers

Which defense mechanism involves a person attributing their own thoughts and feelings onto someone else?

<p>Projection (A)</p> Signup and view all the answers

In coping skills, what does 'maladaptive' refer to?

<p>Unsuccessful adaptation to stress (C)</p> Signup and view all the answers

What is the characteristic of adaptive coping skills?

<p>Successful adaptation to stress (C)</p> Signup and view all the answers

Which defense mechanism involves transferring emotions from one target to another?

<p>Displacement (C)</p> Signup and view all the answers

What does denial represent in the context of coping mechanisms?

<p>Disbelief in reality of loss (D)</p> Signup and view all the answers

Which behavior indicates a patient's successful adaptation to stress?

<p>Thoughts, feelings, and behaviors congruent with norms (B)</p> Signup and view all the answers

'Sublimation' as a defense mechanism involves:

<p>'Channeling aggression into sports' (A)</p> Signup and view all the answers

What is the main focus of the orientation phase in the nurse-client relationship?

<p>Creating an environment of trust and rapport (C)</p> Signup and view all the answers

In the context of a therapeutic relationship, what does 'genuineness' refer to?

<p>The ability to be open, honest, and real in interactions (C)</p> Signup and view all the answers

Which characteristic is essential for forming a therapeutic relationship that implies special feelings based on acceptance, warmth, and friendliness?

<p>Rapport (B)</p> Signup and view all the answers

What is the priority action during the pre-interaction phase of the nurse-client relationship?

<p>Examine fears and anxieties about working with a patient (D)</p> Signup and view all the answers

Which characteristic involves the ability to see beyond outward behavior and understand the situation from the patient's perspective?

<p>Empathy (D)</p> Signup and view all the answers

What is the primary purpose of establishing rapport in a therapeutic relationship?

<p>To create an environment of trust and warmth (C)</p> Signup and view all the answers

Which nursing action is most crucial during the orientation phase of the nurse-client relationship?

<p>Create an environment of trust and rapport (C)</p> Signup and view all the answers

'Trust' in a nurse-client relationship requires confidence in which aspect of the nurse?

<p>Reliability, integrity, veracity, and desire to assist (B)</p> Signup and view all the answers

What is the key difference between egoistic suicide and altruistic suicide?

<p>Level of integration into a group (D)</p> Signup and view all the answers

Which population is mentioned as a high-risk group for suicide with a 41% lifetime prevalence?

<p>Transgender individuals (C)</p> Signup and view all the answers

In which type of suicide does the individual respond to disruptions in their life that instill feelings of 'separateness'?

<p>Anomic suicide (D)</p> Signup and view all the answers

What percentage of successful suicides are accounted for by men?

<p>70% (D)</p> Signup and view all the answers

What is a priority assessment question to ask when caring for a patient with depression?

<p>History of depressive disorder in the family (A)</p> Signup and view all the answers

'Separateness' leading to anomic suicide is caused by disruptions in what aspect of an individual's life?

<p>Norms of behavior (B)</p> Signup and view all the answers

What distinguishes an individual prone to altruistic suicide from one prone to egoistic suicide?

<p>'Integration' into a group (B)</p> Signup and view all the answers

'Relatedness to a group' plays a significant role in which type of suicide?

<p>Anomic suicide (B)</p> Signup and view all the answers

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Study Notes

Coping Skills and Ego Defense Mechanisms

  • Coping skills are coping behaviors that enhance one's adaptations
  • Ego defense mechanisms:
    • Reaction formation: hiding negative reactions through an exaggerated expression of positive feelings
    • Projection: attributing one's thoughts and feelings onto someone else
    • Sublimation: transforming anxiety or emotions into pursuits considered useful by societal or cultural norms
    • Displacement: transferring feelings or emotions from one target to another
    • Denial: stage of disbelief in which the reality of loss is not acknowledged

Mental Health Disorder Risk and Adaptation

  • A patient is at risk for developing a mental health disorder when they exhibit maladaptive behaviors
  • Adaptive: successful adaptation to stress from internal and external environment, evidenced by thoughts, feelings, and behaviors that are age-appropriate and congruent with local and cultural norms

Psychotropic Medications

  • Lithium is associated with weight gain

Therapeutic Relationship

  • Steps to forming a therapeutic relationship:
    • Rapport: acceptance, warmth, friendliness, trust, and nonjudgemental attitude
    • Trust: confidence in the person's reliability, integrity, and veracity
    • Respect: believing in the dignity and worth of an individual regardless of their behavior
    • Genuineness: being open, honest, and real in interactions with the patient
    • Empathy: understanding the situation from the patient's point of view

Nurse-Client Relationship

  • Phases of the nurse-client relationship:
    • Pre-interaction phase: preparation for the first meeting with the patient, gathering information, and examining one's fears and anxieties
    • Orientation phase: establishing a contract of intervention, gathering assessment data, identifying strengths and limitations, and formulating nursing diagnoses
    • Priority nursing actions during each phase: creating an environment of trust and rapport, establishing a contract of intervention, gathering assessment data, identifying strengths and limitations, and formulating nursing diagnoses

Suicide and Suicide Prevention

  • Classification of suicide:
    • Egoistic suicide: response of an individual who feels separate and apart from the mainstream of society
    • Altruistic suicide: response of an individual who is excessively integrated into the group
    • Anomic suicide: response to changes in an individual's life that disrupt feelings of relatedness to a group
  • Priority assessment questions for patients with depression:
    • History of depressive disorder in the family and close relatives who have committed suicide
    • Percentage of people who kill themselves and have a prior suicide attempt
    • Successful suicides and high-risk populations (e.g. transgender individuals, the elderly)

Leadership Styles

  • Autocratic: focus on the leader, high production, but low morale
  • Democratic: focus on members, encouraging participation, moderate production, but high morale
  • Lassiez Faire: no focus, undefined goals, low productivity, and low morale

Yalom's Therapeutic Factors

  • Instillation of hope: observing progress of others with similar problems
  • Universality: realizing that one is not alone in their problems, thoughts, and feelings
  • Imparting of information: sharing knowledge with each other
  • Altruism: providing assistance and support to each other
  • Corrective recapitulation of the primary family group: re-experiencing early family conflicts
  • Development of socializing techniques: correcting maladaptive social behaviors and learning new social skills

Other Key Concepts

  • Orientation: assessing a patient's awareness of their situation, including their identity, location, and circumstances
  • Focus charting: a method of documentation that focuses on a specific problem or issue
  • Problem-oriented recording: a method of documentation that uses a subjective, objective, assessment, plan, intervention, and evaluation (SOAPIE) format

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