Deck 12: Understanding and Dealing Successfully With Difficult Behavior

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?
1) Denial
2) Anger
3) Guilt
4) Depression

Answer 1

1

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?
1) Bulldozer behavior
2) Duck-and-cover behavior
3) Wet blanket behavior
4) Beyond help behavior

Answer 2

2

Question 3

Which ethical principle is one of the most important considerations in working with clients in denial?
1) Justice
2) Autonomy
3) Fidelity
4) Accountability

Answer 3

2

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?
1) Empathy approach
2) Adjusting the attitude approach
3) Complaining to the complainer approach
4) Break the vicious cycle approach

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?
1) The dictator
2) The sneak
3) The persecutor
4) The chronic complainer

Question 6

Probably the most serious physiological consequence of grief-stage depression is suppression of which body system?
1) Immune system
2) Endocrine system
3) Nervous system
4) Respiratory system

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?
1) Denial
2) Anger
3) Bargaining
4) Depression

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?
1) Trust
2) Respect
3) Loyalty
4) Consistency

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?
1) Empathy approach
2) Adjusting the attitude approach
3) Complaining to the complainer approach
4) Break the vicious cycle approach

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?
1) Tough love approach
2) Humor me approach
3) Don't ask, don't tell approach
4) Walking the tightrope approach

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?
1) Reflection
2) Confrontation
3) Legitimization
4) Interrogation

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?
1) Bulldozer behavior
2) Duck-and-cover behavior
3) Wet blanket behavior
4) Beyond help behavior

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?
1) Parallel violence
2) Lateral violence
3) Vertical violence
4) Horizontal violence

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?
1) Denial
2) Anger
3) Bargaining
4) Depression

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?
1) Accusations
2) Allegations
3) Mixed rumors
4) Innuendoes