A client is frustrated and angry with their supervisor at work but chooses to express this anger by yelling at their family members at home. According to Freud's psychoanalytic theory, this behavior is an example of which defense mechanism?
Displacement
Denial
Projection
Sublimation
The Correct Answer is A
Rationale:
A. Displacement involves transferring emotional responses from the original source of distress (the supervisor) to a safer or more acceptable substitute target (family members).
B. Denial is the refusal to accept reality or facts, often to avoid painful emotions, and is not demonstrated in this scenario.
C. Projection involves attributing one's own unacceptable thoughts or feelings to someone else (e.g., accusing others of being angry when you're angry).
D. Sublimation is a healthy defense mechanism where negative impulses are channeled into positive, socially acceptable activities (e.g., exercising or creating art instead of acting out anger).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Humanistic theory, particularly associated with Carl Rogers, emphasizes the importance of unconditional positive regard, empathy, and genuineness in helping clients grow and achieve self-actualization. The nurse’s role is to create a safe, accepting environment that supports the client's personal development.
B. This aligns more with behavioral or cognitive-behavioral therapy, not humanistic theory.
C. Interpreting unconscious conflicts is a feature of psychoanalytic theory, not humanistic theory.
D. Using reinforcement to shape behavior is central to behavioral therapy, not humanistic approaches.
Correct Answer is C
Explanation
Rationale:
A. Serotonin syndrome is more commonly associated with SSRIs, SNRIs, or combining serotonergic agents—not typically with MAOIs alone.
B. MAOIs are not known to cause kidney damage or require salt and potassium restriction.
C. MAOIs can cause a hypertensive crisis when taken with tyramine-rich foods (e.g., aged cheese, cured meats). This is a critical teaching point for patient safety.
D. MAOIs are not typically associated with hypernatremia, and while weight changes can occur, increasing fluids is not a standard precaution.
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