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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Related Questions
Correct Answer is C
Explanation
A. "Do you need any more resources or information?" This question focuses on resource provision rather than emotional clarification. While important, it does not specifically invite the client to explore their feelings.
B. "You feel like you have the support needed to be successful." This is a statement, not a question, and may lead the client to agree rather than express their true emotions. A better approach would involve open-ended questioning.
C. "Tell me what kind of coping skills you have." This open-ended question encourages the client to reflect on their coping mechanisms and emotional responses, facilitating deeper discussion and emotional clarification.
D. "Do you understand your next step in treatment?" This focuses on treatment adherence rather than the client’s emotions. While important for education, it does not directly encourage emotional exploration.
Correct Answer is C
Explanation
A. Documentation for a mental health client is a defined process based on hospital-specific requirements which highlights client care. While hospitals have policies, documentation must follow legal and ethical guidelines beyond just facility rules.
B. Documentation for a mental health client is focused on the client’s diagnosis, reason for medications, plan of care, and client progression. Documentation includes more than just diagnosis and medication, such as behavior observations, interventions, and responses.
C. Documentation for mental health clients provides a record of the nurse’s awareness of client behaviors, mental status, interventions, and client response. Comprehensive mental health documentation includes behaviors, mental status, interventions, and outcomes.
D. Documentation for a mental health client outlines the client’s therapies, treatments, and needs for discharge planning. This is part of the documentation but does not capture all aspects of mental health nursing records.
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