Question 1

How does a nurse's use of sympathetic communication sometimes hinder a patient's work in developing a more realistic self-concept?

Accepted Answer

A)  Sympathy can reinforce self-pity. 
B)  Sympathy reduces patient ego strength. 
C)  Sympathy encourages premature self-revelation. 
D)  Sympathy limits potential positive effects of transference. 
A)  Sympathy can reinforce self-pity. 
B)  Sympathy reduces patient ego strength. 
C)  Sympathy encourages premature self-revelation. 
D)  Sympathy limits potential positive effects of transference.

Question 2

A patient reports feeling detached and says,"It feels as though I'm watching a movie as life unfolds.I'm isolated,on the outside and not involved.I really don't feel anything.I don't know if I'm alive or dead,awake or sleeping." The nurse can determine that the patient is describing:

Accepted Answer

A)  akathisia. 
B)  hypomania. 
C)  depersonalization. 
D)  boundary violations. 
A)  akathisia. 
B)  hypomania. 
C)  depersonalization. 
D)  boundary violations.

Question 3

When working with a patient experiencing an alteration in self-concept resulting from dissociative amnesia,a nurse should begin by:

Accepted Answer

A)  identifying and supporting the patient's ego strength. 
B)  helping the patient to develop a realistic self-ideal. 
C)  taking measures to prevent further identity diffusion. 
D)  setting mutual goals for attitudinal and behavioral change. 
A)  identifying and supporting the patient's ego strength. 
B)  helping the patient to develop a realistic self-ideal. 
C)  taking measures to prevent further identity diffusion. 
D)  setting mutual goals for attitudinal and behavioral change.

Question 4

When working with a patient with self-concept disturbance,which type of communication would initially be most useful?

Accepted Answer

A)  Probing 
B)  Empathic 
C)  Confrontational 
D)  Sympathetic 
A)  Probing 
B)  Empathic 
C)  Confrontational 
D)  Sympathetic

Exam 17: Self-Concept Responses and Dissociative Disorders

How does a nurse's use of sympathetic communication sometimes hinder a patient's work in developing a more realistic self-concept?

A patient reports feeling detached and says,"It feels as though I'm watching a movie as life unfolds.I'm isolated,on the outside and not involved.I really don't feel anything.I don't know if I'm alive or dead,awake or sleeping." The nurse can determine that the patient is describing:

When working with a patient experiencing an alteration in self-concept resulting from dissociative amnesia,a nurse should begin by:

When working with a patient with self-concept disturbance,which type of communication would initially be most useful?

Roles and Functions of Psychiatric-Mental Health Nurses: Competent Caring

Therapeutic Nurse-Patient Relationship

The Stuart Stress Adaptation Model of Psychiatric Nursing Care

Evidence-Based Psychiatric Nursing Practice

Biological Context of Psychiatric Nursing Care

Psychological Context of Psychiatric Nursing Care

Social, Cultural, and Spiritual Context of Psychiatric Nursing Care

Legal and Ethical Context of Psychiatric Nursing Care

Policy and Advocacy in Mental Health Care

Families as Resources, Caregivers, and Collaborators

Implementing the Nursing Process: Standards of Practice and Professional Performance

Prevention and Mental Health Promotion

Crisis Intervention

Recovery and Psychiatric Rehabilitation

Anxiety Responses and Anxiety Disorders

Psychophysiological Responses and Somatoform and Sleep Disorders

Emotional Responses and Mood Disorders

Self-Protective Responses and Suicidal Behavior

Neurobiological Responses and Schizophrenia and Psychotic Disorders

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Cognitive Responses and Organic Mental Disorders

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Eating Regulation Responses and Eating Disorders

Sexual Responses and Sexual Disorders

Psychopharmacology

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Preventing and Managing Aggressive Behavior

Somatic Therapies

Complementary and Alternative Therapies

Therapeutic Groups

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Hospital-Based Psychiatric Nursing Care

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Psychological Care of Patients with Life-Threatening Illness

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