A nurse is caring for a client who states, "Whenever I have to give a presentation at my job, my vision goes really blurry and my feet go numb." Which of the following defense mechanisms is the client describing?
Displacement
Conversion
Rationalization
Identification
The Correct Answer is B
A. Displacement: Displacement involves shifting emotions from one target to another (e.g., yelling at a coworker after being scolded by a boss).
B. Conversion: Conversion disorder is when emotional distress manifests as physical symptoms, such as blurred vision or numbness.
C. Rationalization: Rationalization is justifying behaviors or feelings with logical explanations (e.g., “I didn’t get the job because the interviewer was biased”).
D. Identification: Identification involves imitating behaviors of another person (e.g., a child mimicking a parent’s speech).
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Therapeutic communication is important for nurse-to-nurse interactions, but not as critical for nurse-to-client interactions." Therapeutic communication is essential in nurse-client interactions, as it builds trust, fosters emotional well-being, and enhances care outcomes.
B. "Therapeutic communication is a key component of mental health nursing and the therapeutic nurse-client relationship that improves the emotional well-being of the client." Therapeutic communication actively supports mental health treatment by ensuring clients feel heard, validated, and understood, which is crucial in emotional and psychological care.
C. "Therapeutic communication is no different than how we communicate in general conversation outside of health care." Everyday communication lacks the structured techniques (e.g., active listening, open-ended questions, empathy) used in therapeutic communication.
D. "Therapeutic communication is not as important as medication in the care of our clients." While medications are critical for treatment, communication is equally vital because it affects adherence, trust, and overall well-being.
Correct Answer is D
Explanation
A. Projection is a defense mechanism where a client attributes their own feelings to someone else (e.g., “I know you don’t like me” when they actually dislike the nurse).
B. Countertransference is the nurse’s emotional reaction toward the client, not the client’s reaction to the nurse.
C. Empathy involves understanding and sharing another person’s emotions, which is not what is happening in this scenario.
D. Transference occurs when a client projects feelings about another person onto the nurse (e.g., seeing the nurse as a loved one).
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