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).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Cultural humility involves recognizing and respecting differences in beliefs and values while maintaining self-awareness. It does not explain erratic emotional responses.
B. Countertransference occurs when a nurse projects personal emotions onto a client, leading to overinvolvement (excessive kindness) or negative reactions (hostility). This can affect professional boundaries and care.
C. Transference occurs when a client unconsciously transfers feelings about past relationships onto the nurse (e.g., treating the nurse as a parental figure). This is the reverse of countertransference.
D. Professional competency refers to maintaining clinical skills and ethical behavior. Displaying inconsistent emotional responses toward a client is not an example of competency.
Correct Answer is C
Explanation
A. Resolution: The resolution phase occurs at the end of care, focusing on termination and closure, not trust-building.
B. Exploitation: This is not a formal phase of the nurse-client relationship in Peplau’s model; the term is outdated and not appropriate.
C. Orientation: The orientation phase is when the nurse establishes trust and rapport with the client.
D. Identification: The identification phase is when the client begins to recognize the nurse’s role in their care, but trust has already been established.
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