A nurse is caring for a client who has posttraumatic stress disorder (PTSD) after being physically assaulted. The client is unable to recall any details of the event. Which of the following defense mechanisms should the nurse recognize that the client is displaying?
Dissociation
Rationalization
Undoing
Reaction formation
The Correct Answer is A
A. Dissociation
Dissociation is a defense mechanism where a person disconnects from their thoughts, feelings, memories, or sense of identity as a way to cope with a traumatic or stressful situation. In the context of PTSD, dissociation may manifest as the inability to recall details of the traumatic event or feeling disconnected from reality.
B. Rationalization
Rationalization involves justifying or explaining behaviors, thoughts, or feelings in a rational or logical manner to make them acceptable to oneself or others. It is not typically associated with the inability to recall details of a traumatic event.
C. Undoing
Undoing is a defense mechanism characterized by engaging in acts or behaviors aimed at negating or "undoing" a previous undesirable thought, feeling, or action. It involves trying to make amends for perceived wrongdoings or mistakes, often through symbolic gestures. It is not typically associated with memory impairment related to trauma.
D. Reaction formation
Reaction formation is a defense mechanism where a person behaves in a manner that is opposite to their true feelings or impulses. For example, someone who feels hostility towards another person might display exaggerated friendliness. While reaction formation may be present in individuals with PTSD, it is not directly related to the inability to recall details of a traumatic event.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Have you thought about taking a sleeping pill?”: While this response acknowledges the client's report of feeling tired, it immediately jumps to suggesting a specific solution without exploring the underlying reasons for the fatigue. It also assumes that medication is the appropriate intervention without further assessment.
B. "Your fatigue will pass, and everything will be just fine.”: This response minimizes the client's concerns and feelings by dismissing them with a vague reassurance. It does not validate the client's experience or offer practical support.
C. "Do you have a family member who can assist you?”: This response acknowledges the client's difficulty with grocery shopping and offers a practical solution by asking about available support from family members. It encourages the client to explore their support system and potential resources.
D. "Let's discuss how to get you the help you need.”: This response demonstrates empathy, validation, and a willingness to collaborate with the client to address their needs. It acknowledges the client's concerns and offers to explore solutions together, empowering the client to be actively involved in their care.
Correct Answer is ["A","C","D"]
Explanation
A. Lack of eye contact: Difficulty with eye contact is a common characteristic of ASD. Many individuals with ASD may have challenges in establishing or maintaining eye contact during social interactions.
B. Inability to play quietly: Individuals with ASD may engage in repetitive or stereotyped behaviors, including noisy or disruptive play. However, the inability to play quietly is not universally present in all individuals with ASD.
C. Constant spinning of a toy: Repetitive or stereotyped movements, such as spinning objects or repetitive hand movements, are common behaviors observed in individuals with ASD. This behavior is often referred to as "stimming" or self-stimulatory behavior.
D. Withdrawal from physical contact: Sensory sensitivities are common in individuals with ASD, and some may be hypersensitive to touch or physical contact. As a result, they may withdraw from or avoid physical contact with others.
E. Repeated voiding in clothes: Repeated voiding in clothes is not typically considered a core feature of ASD. However, some individuals with ASD may have challenges with toileting, including difficulties with toilet training or sensory sensitivities related to bathroom routines.
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