A 40-year-old patient cries and has a tantrum when the health care provider refuses to give her a prescription for diet pills. The nurse realizes that this is the use of which defense mechanism?
Projection
Repression
Denial
Regression
The Correct Answer is D
A. Projection involves attributing one’s own unacceptable feelings or thoughts onto another person. However, in this case, the patient’s tantrum and crying are more about their own inability to handle the refusal rather than projecting feelings onto others.
B. Repression is a defense mechanism where distressing thoughts or feelings are unconsciously blocked from entering awareness. For instance, if the patient were to push aside their feelings of disappointment about not receiving the diet pills without expressing them, that would be repression.
C. Denial involves refusing to accept reality or facts that are distressing or threatening. However, the primary behavior in this situation is the tantrum and crying, which are more indicative of another defense mechanism rather than outright denial.
D. Regression is a defense mechanism where an individual reverts to behaviors characteristic of an
earlier developmental stage in response to stress or conflict. The patient’s crying and tantrum can be seen as regressive behavior because it reflects a return to more childlike or immature ways of handling frustration, similar to how a child might react to not getting what they want.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Visual disturbances are not a common side effect of ECT. The more typical side effects of ECT include temporary memory loss, confusion, or headache. The patient should be informed about these potential side effects, but visual disturbances are not specifically associated with ECT.
B. Hydration is important for overall health, but it is not a specific requirement for ECT preparation. The primary preparation involves fasting, as patients are usually required to fast for several hours before the procedure to minimize the risk of aspiration during the treatment, as ECT is performed under anesthesia.
C. Incontinence is not a typical concern with ECT. The procedure itself does not usually result in incontinence. The focus should be more on preparing for potential side effects like temporary confusion
or memory issues, rather than concerns about incontinence. Therefore, this advice is not relevant for ECT preparation.
D. ECT involves the use of anesthesia, and patients should not drive themselves to or from the appointment due to the effects of anesthesia and the potential for temporary disorientation. Arranging for transportation ensures the patient’s safety and compliance with post-treatment care instructions.
Correct Answer is A
Explanation
A. This definition encompasses the broader concept of mental health, including emotional, psychological, and social well-being.
B. This definition is too narrow and doesn't capture the full spectrum of mental health.
C. This focuses on physical functioning rather than mental well-being.
D. This definition is focused on illness rather than overall mental health.
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