Author Question: A patient comes to the mental health clinic with insomnia, irritability, increased tension, and ... (Read 23 times)

Chelseaamend · **on:** Jul 19, 2018

A patient comes to the mental health clinic with insomnia, irritability, increased tension, and headaches. The symptoms began 1 week ago after the patient was laid off from work.

The patient expresses concern that this will result in a relocation that will be hard on the entire family. The patient is most likely experiencing: a. an anxiety reaction.
b. a situational crisis.
c. a maturational crisis.
d. an adjustment disorder.

Question 2

In a team meeting, it is noted that a client uses defense mechanisms to avoid dealing with certain topics. The nurse can BEST use this knowledge to:

a. guide the nurse-client interactions
b. analyze the client's psyche
c. assist the client in changing behavior
d. explain the client's problems

b614102004 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
A situational crisis occurs when a life event upsets an individual's psychological equilibrium. Loss of a job can give rise to a situational crisis.

Answer to Question 2

A
Defense mechanisms are unconscious responses used by persons to protect themselves from internal conflicts and external stress. When a nurse concludes that the client is using a defense mechanism to avoid dealing with certain subjects, the nurse can use this knowledge to guide interactions, knowing that the defense mechanism indicates the presence of psychologically significant material.