Question 1

Because there are elements of avoidance and rejection of treatment displayed in the behaviors of clients in the bargaining stage, some of the methods used in the care of the client in which stage will also be helpful in caring for the client who is bargaining?
A) Denial
B) Anger
C) Guilt
D) Depression

Accepted Answer

The bargaining stage shares similarities with the denial stage, as both involve avoidance behaviors. In denial, individuals may refuse to accept the reality of their situation, similar to how those bargaining might try to negotiate their way out of it, both demonstrating a form of avoidance.

Question 2

Placing responsibility for both the problem and the solution on another person because you believe you cannot fix the problem yourself is indicative of which type of behavior?
A) Bulldozer behavior
B) Duck-and-cover behavior
C) Wet blanket behavior
D) Beyond help behavior

Accepted Answer

Duck-and-cover behavior involves avoiding responsibility by placing the problem and its solution on someone else, often due to a belief that one cannot address the issue themselves.

Question 3

Which ethical principle is one of the most important considerations in working with clients in denial?
A) Justice
B) Autonomy
C) Fidelity
D) Accountability

Accepted Answer

Autonomy is crucial when working with clients in denial because it respects the client's right to make their own decisions, even when those decisions involve denial of their situation or condition. This principle supports the idea that individuals have the right to control their own lives and choices, which is especially important in therapeutic settings where respecting the client's perspective and decision-making process is fundamental.

Question 4

Which approach to dealing with chronic complaining will usually stop complainers from complaining to you while, at the same time, you take their unhappiness seriously and offer a practical resolution?
A) Empathy approach
B) Adjusting the attitude approach
C) Complaining to the complainer approach
D) Break the vicious cycle approach

Accepted Answer

The Break the vicious cycle approach involves acknowledging the complainer's unhappiness, offering practical solutions, and setting boundaries to prevent excessive complaining.

Question 5

Which type of difficult person often behaves in a way to gain attention from a superior and feels a strong sense of jealousy when the superior gives the attention or promotion he or she wants to another person?
A) The dictator
B) The sneak
C) The persecutor
D) The chronic complainer

Accepted Answer

The sneak typically engages in behavior aimed at gaining favor or attention from superiors, often feeling jealous or slighted when someone else receives the recognition or promotion they desire. This type of difficult person may resort to underhanded tactics to ensure they remain in the spotlight or are perceived favorably by those in positions of authority.

Question 6

Probably the most serious physiological consequence of grief-stage depression is suppression of which body system?
A) Immune system
B) Endocrine system
C) Nervous system
D) Respiratory system

Accepted Answer

Grief and depression can lead to a suppression of the immune system, making individuals more susceptible to infections and illnesses due to the stress-related decrease in the body's ability to fight off pathogens.

Question 7

Paraverbal indicators of which stage of grief include slow, low-tone speech and long pauses after you ask the client a question and before he or she answers?
A) Denial
B) Anger
C) Bargaining
D) Depression

Accepted Answer

Slow, low-tone speech and long pauses are paraverbal indicators of depression. This stage of grief is characterized by feelings of sadness, regret, and a sense of loss, which can manifest in the way a person communicates.

Question 8

Establishing which of the following is key to any successful relationship, is the foundation upon which all nursing care is built, and is particularly important when dealing with difficult behavior?
A) Trust
B) Respect
C) Loyalty
D) Consistency

Accepted Answer

Trust is fundamental to successful relationships and is crucial in nursing care, especially when managing difficult behavior, as it fosters open communication and cooperation.

Question 9

Which approach to dealing with chronic complaining is difficult because it requires complainers to shift their perception from one they have been hanging on to for years?
A) Empathy approach
B) Adjusting the attitude approach
C) Complaining to the complainer approach
D) Break the vicious cycle approach

Accepted Answer

The "Adjusting the attitude approach" is difficult because it requires complainers to change their long-held perceptions, which can be deeply ingrained and challenging to alter. This approach focuses on changing the individual's mindset and perspective, which is not an easy task, especially when these perceptions have been held for years.

Question 10

Which approach to dealing with a client in denial is to be used only when all else has failed because it borders on unethical, according to the teleological system of ethics?
A) Tough love approach
B) Humor me approach
C) Don't ask, don't tell approach
D) Walking the tightrope approach

Accepted Answer

The "Tough love approach" is considered a last resort because it can be harsh and may not respect the client's autonomy, thus bordering on unethical according to teleological ethics, which focuses on the consequences of actions.

Question 11

Which technique, involving acknowledgment of and agreement with the client's perceptions, can help reveal the underlying cause of the client's anger?
A) Reflection
B) Confrontation
C) Legitimization
D) Interrogation

Accepted Answer

Legitimization acknowledges and validates the client's feelings or perceptions without necessarily agreeing with them, which can help in understanding the root cause of the client's anger.

Question 12

People exhibiting which type of behavior believe the solution being offered is inappropriate or useless and that their problem is so severe or unique that there is nothing anyone could ever do to fix it?
A) Bulldozer behavior
B) Duck-and-cover behavior
C) Wet blanket behavior
D) Beyond help behavior

Accepted Answer

Beyond help behavior is characterized by individuals believing that their problems are so severe or unique that no offered solution could possibly resolve them. This mindset reflects a sense of hopelessness or resignation, distinguishing it from the other behaviors listed.

Question 13

Dictators will attempt to threaten, humiliate, intimidate, or demean others with goals of overcoming their own lack of confidence, feeling more powerful, and inflating their low self-esteem. If a dictator is in a superior position, such as a charge nurse or supervisor, this type of behavior is referred to as which of the following?
A) Parallel violence
B) Lateral violence
C) Vertical violence
D) Horizontal violence

Accepted Answer

Vertical violence occurs when someone in a higher position (e.g., a supervisor or charge nurse) engages in aggressive behavior towards someone in a lower position. This aligns with the scenario described, where a dictator in a superior position uses threats or intimidation.

Question 14

Which stage of grief acts as an unconscious coping mechanism that seeks to fulfill the goals of avoiding the bad things that the client anticipates will soon happen to him or her and regaining some degree of control over his or her life?
A) Denial
B) Anger
C) Bargaining
D) Depression

Accepted Answer

Bargaining is the stage of grief where individuals try to negotiate or make deals to avoid the impending loss or to regain control over their situation.

Question 15

Which tactic is one of the most powerful tools used by sneaks because it contains just enough truth to make it completely believable?
A) Accusations
B) Allegations
C) Mixed rumors
D) Innuendoes

Accepted Answer

Mixed rumors are particularly effective because they blend truth with falsehood, making the overall statement seem more plausible and harder to outright deny or confirm. This tactic leverages the credibility of the truthful part to give weight to the entire rumor.

Quiz 12: Understanding and Dealing Successfully With Difficult Behavior

Because there are elements of avoidance and rejection of treatment displayed in the behaviors of clients in the bargaining stage, some of the methods used in the care of the client in which stage will also be helpful in caring for the client who is bargaining?

Placing responsibility for both the problem and the solution on another person because you believe you cannot fix the problem yourself is indicative of which type of behavior?

Which ethical principle is one of the most important considerations in working with clients in denial?

Which approach to dealing with chronic complaining will usually stop complainers from complaining to you while, at the same time, you take their unhappiness seriously and offer a practical resolution?

Which type of difficult person often behaves in a way to gain attention from a superior and feels a strong sense of jealousy when the superior gives the attention or promotion he or she wants to another person?

Probably the most serious physiological consequence of grief-stage depression is suppression of which body system?

Paraverbal indicators of which stage of grief include slow, low-tone speech and long pauses after you ask the client a question and before he or she answers?

Establishing which of the following is key to any successful relationship, is the foundation upon which all nursing care is built, and is particularly important when dealing with difficult behavior?

Which approach to dealing with chronic complaining is difficult because it requires complainers to shift their perception from one they have been hanging on to for years?

Which approach to dealing with a client in denial is to be used only when all else has failed because it borders on unethical, according to the teleological system of ethics?

Which technique, involving acknowledgment of and agreement with the client's perceptions, can help reveal the underlying cause of the client's anger?

People exhibiting which type of behavior believe the solution being offered is inappropriate or useless and that their problem is so severe or unique that there is nothing anyone could ever do to fix it?

Which stage of grief acts as an unconscious coping mechanism that seeks to fulfill the goals of avoiding the bad things that the client anticipates will soon happen to him or her and regaining some degree of control over his or her life?

Which tactic is one of the most powerful tools used by sneaks because it contains just enough truth to make it completely believable?