A nurse is caring for a client who has generalized anxiety disorder. The client is consistently late for appointments and ignores household chores. The client states, "I'm just too stressed. I need to be taken care of. The nurse should identify this behavior as the maladaptive use of which of the following defense mechanisms?

Repression

Introjection

Dissociation

Regression

Answer and Explanation

The Correct Answer is D

Regression is a defense mechanism that involves reverting to an earlier stage of development or behaving in a way that is characteristic of an earlier developmental level in response to stress or anxiety. It is a way for individuals to cope with overwhelming emotions or situations by retreating to a previous, more comfortable state.

In the scenario described, the client's behavior of consistently being late for appointments and ignoring household chores while expressing the need to be taken care of indicates a regressive response to stress. By relying on others to take care of their responsibilities, the client is seeking a sense of security and support, similar to how they may have relied on others in the past, such as during childhood.

Inc

A- Repression involves the unconscious blocking of unacceptable thoughts or impulses from conscious awareness.

B- Introjection is the internalization of values or qualities of another person or group.

C- Dissociation is a defense mechanism that involves detaching oneself from reality or the present moment to avoid emotional distress.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

The response "It sounds like you're having a difficult time" acknowledges the client's distress and validates their experience. It demonstrates empathy and shows the nurse's willingness to listen and provide support. This response encourages the client to express their feelings and concerns further, facilitating open communication and a therapeutic relationship.

The response "Why do you think you are so anxious?" may come across as confrontational or intrusive. It puts the client on the spot and may make them feel defensive or uncomfortable. It is important to create a supportive environment where the client feels safe to share their experiences without judgment.

The response "Everyone has trouble sleeping at times" minimizes the client's concerns and may invalidate their feelings. It does not address the client's anxiety or offer any support or guidance.

The response "Have you talked to your provider about this yet?" is a helpful question to explore whether the client has sought professional help. However, it should be used after acknowledging the client's difficulties and showing empathy. It can be part of a conversation about accessing appropriate care and resources.

A. Repression B. Introjection C. Dissociation D. Regression

Correct Answer is D

Explanation

Inc

A- Repression involves the unconscious blocking of unacceptable thoughts or impulses from conscious awareness.

B- Introjection is the internalization of values or qualities of another person or group.

C- Dissociation is a defense mechanism that involves detaching oneself from reality or the present moment to avoid emotional distress.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports a state of Increasing anxiety and the inability to sleep and concentrate. Which of the following is an appropriate response by the nurse?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

A nurse observes that a client is sitting alone in her room crying. As the nurse approaches, she states, "I'm feeling really down and don't want to talk to anyone right now." Which of the following responses is appropriate for the nurse?

A nurse observes that a client is sitting alone in her room crying. As the nurse approaches, she states, "I'm feeling really down and don't want to talk to anyone right now." Which of the following responses is appropriate for the nurse?

A nurse is caring for a client with whom he has developed a therapeutic relationship and who will be discharged later in the day. The client thanks the nurse for his help during the hospitalization. Which of the following responses should the nurse make?

A nurse is caring for a client who has received nine electroconvulsive therapy (ECT) treatments and reports short-term memory loss. Which of the following responses should the nurse make?

A nurse is assisting in the admission process for a client who has a history of violent behavior. The client stands up and begins clenching her fists and arguing with the nurse. Which of the following actions is the priority?

A nurse is assisting with the admission assessment for a cilent who is receiving treatment following a situational crisis. Which of the following actions is the nurse's priority?

A nurse is assisting with the court-ordered admission of a client to a substance-abuse program. The client states, "You are all angry at me and wish you could go out and have a drink." The client's response is an example of which of the following defense mechanisms?