A nurse is caring for a client who has a personality disorder. Which of the following statements made by the client indicate they are coping with the maladaptive defense mechanism of displacement?

"The night shift nurse is terrible."

"If I do what I am supposed to do, it will go away."

"I am so angry with my spouse."

"I don't know why I am here in the first place."

Answer and Explanation

The Correct Answer is A

A. "The night shift nurse is terrible.": This is an example of displacement, where the client redirects feelings of anger or frustration from a more significant issue, such as personal conflict or stress, onto an unrelated person like the night shift nurse.
B. "If I do what I am supposed to do, it will go away.": This statement reflects an attempt at problem-solving or avoidance rather than displacement. The client is trying to manage the situation directly by taking action, rather than transferring emotions.
C. "I am so angry with my spouse.": This is a direct acknowledgment of the source of the distress (the spouse) and does not involve displacement. The client is openly expressing anger rather than redirecting it onto someone or something unrelated.
D. "I don't know why I am here in the first place.": This reflects denial, where the client avoids recognizing the true reasons for being in treatment. The client is avoiding confronting their feelings or the situation but isn’t displaying displacement.

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Correct Answer is A

Explanation

A. "Cognitive behavioral therapy can help you confront the beliefs you have about gambling": Cognitive behavioral therapy (CBT) helps clients identify and change maladaptive thought patterns and beliefs related to gambling, making it the most appropriate therapeutic approach.
B. "Systematic desensitization can help you decrease your desire for gambling": Systematic desensitization is typically used for anxiety or phobias and involves gradual exposure to a feared object or situation. It is not a primary treatment for gambling disorder.
C. "Gamblers Anonymous can help you replace irresponsible gambling with controlled gambling": Gamblers Anonymous focuses on abstinence from gambling, not controlled gambling. The goal is to help individuals stop gambling altogether.
D. "Interpersonal therapy can help you identify relationships that may have led to your gambling": While interpersonal therapy can be beneficial for improving relationships, gambling disorder is more effectively addressed through CBT, which focuses on changing the client’s thoughts and behaviors related to gambling.

A. Tell the client their consent is not required prior to collecting potential physical evidence. B. Determine the client's level of anxiety to check for the risk of self harm. C. Ask the client if they often walk alone when out in public places. D. Avoid asking the client open-ended questions during the interview.

Correct Answer is B

Explanation

Rationale for correct choice:

Determine the client's level of anxiety to check for the risk of self-harm: Assessing the client’s anxiety is vital in identifying any risk of self-harm or suicidal thoughts, especially after trauma. This helps the nurse provide appropriate interventions to ensure the client's safety.

Rationale for incorrect choices:

Tell the client their consent is not required prior to collecting potential physical evidence: The nurse must obtain the client’s consent before collecting any physical evidence. Consent is a legal and ethical requirement, especially in cases of sexual assault.
Ask the client if they often walk alone when out in public places: This question may inadvertently lead to feelings of guilt or self-blame and is not an immediate priority. The focus should be on addressing the trauma and the client's current needs.
Avoid asking the client open-ended questions during the interview: Open-ended questions allow the client to express their feelings and experiences, which is essential in trauma care. Avoiding them could hinder the client’s ability to share and may limit the nurse’s understanding of the situation.

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A nurse is caring for a client who has a personality disorder. Which of the following statements made by the client indicate they are coping with the maladaptive defense mechanism of displacement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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