Answer to Question 1
ANS: B
The certified psychiatric mental health nurse at the basic level can provide crisis intervention
services. The other activities are reserved for advanced practice psychiatric mental health nurses.
Answer to Question 2
D
Clients with paranoid ideation unconsciously use the defense mechanism projection to deal with
unacceptable, anxiety-producing ideas and impulses, in this case homosexual urges. Option A:
Although the behavior seems hostile, the projection is homosexual urges rather than hostility. Option
B: Clients who exhibit paranoid ideation usually fear abandonment, but this situation does not
represent reaction formation to abandonment feelings. Option C: Although this statement about
defensive behavior is true, it is not the correct analysis of the behavior described in the scenario.