A nurse is counseling a client for the management of anxiety.
The client is consistently late for appointments and ignores household chores. The client states, "I'm just too stressed.
I need someone to take care of me." The nurse identifies this behavior as an example of which of the following defense mechanisms?

Dissociation

Regression

Introjection

Repression.

Answer and Explanation

The Correct Answer is B

Choice A rationale: Dissociation is a defense mechanism where a person disconnects from reality, memory, identity, or perception. It is often a response to trauma and can result in a detachment from emotional and physical experiences. The client’s behavior does not indicate a disconnection from reality or self.

Choice B rationale: Regression is a defense mechanism where an individual reverts to an earlier stage of development in response to stress or anxiety. In this case, the client’s behavior of wanting someone to take care of them can be seen as a regression to a childlike state of dependency, which is a common response to overwhelming stress or anxiety.

Choice C rationale: Introjection is a defense mechanism where a person internalizes the ideas or voices of other people- often authority figures. This is not evident in the client’s behavior.

Choice D rationale: Repression is a defense mechanism where a person unconsciously blocks out distressing thoughts or feelings. In this scenario, the client is expressing their feelings of stress rather than repressing them.

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 D

Explanation

Choice A rationale: A 13-year-old girl worrying about a pimple on her face is a common concern at this age. Adolescence is a time of significant physical changes, including the onset of acne. While this can cause distress and affect self-esteem, it is not as immediate a concern as some of the other options.

Choice B rationale: Menarche, or the onset of menstruation, typically occurs around the age of 12-14, but it can vary widely. Some girls may start their periods as early as 9 or as late as 16. This girl’s concern about not having started her period yet, while valid, is not unusual or immediately concerning given her age.

Choice C rationale: Feeling like one’s parents are treating them like a baby is a common sentiment among adolescents who are striving for more independence. It’s a normal part of the developmental process and, while it can cause conflict and frustration, it is not an immediate concern.

Choice D rationale: This statement indicates that the girl is feeling socially isolated, which can be a sign of social problems or mental health issues such as depression or anxiety. Social relationships and a sense of belonging are crucial for mental health, particularly during adolescence. This should be the nurse’s priority to address.

Please note that these rationales are based on general knowledge and understanding of adolescent development and mental health. For a more accurate and detailed explanation, it would be best to consult with a healthcare professional or refer to trusted health resources.

A. Bachelor's degree B. Male gender C. Recent marriage D. Age greater than 55 E. Diagnosis of schizophrenia.

Correct Answer is ["B","D","E"]

Explanation

Choice B rationale:

Male gender is a significant risk factor for suicide. Men are more likely to die by suicide than women, with rates being approximately 3.5 times higher in men than women in the United States.

Several factors contribute to this increased risk:

Men are less likely to seek help for mental health issues. This may be due to societal expectations of masculinity, which often discourage men from expressing emotions or seeking help for emotional distress.

Men are more likely to use more lethal means of suicide. For example, men are more likely to use firearms, which have a higher fatality rate than other methods such as poisoning or cutting.

Men may be more likely to experience social isolation and loneliness. These factors can increase the risk of suicide, as they can lead to feelings of hopelessness and despair.

Men may be more likely to experience substance abuse problems. Substance abuse can increase the risk of suicide, as it can impair judgment and impulse control, and can also lead to feelings of hopelessness and despair.

Choice C rationale:

Recent marriage is not a risk factor for suicide. In fact, some studies have shown that marriage may have a protective effect against suicide.

However, it's important to note that relationship problems, including separation, divorce, or domestic violence, can be significant risk factors for suicide.

Choice D rationale:

Age greater than 55 is a risk factor for suicide. Suicide rates are highest among older adults, particularly among men aged 85 and older.

Several factors contribute to this increased risk:

Older adults are more likely to experience chronic health conditions and pain. These conditions can lead to feelings of hopelessness and despair, and can also make it more difficult to cope with stress.

Older adults are more likely to experience social isolation and loneliness. These factors can increase the risk of suicide, as they can lead to feelings of hopelessness and despair.

Older adults are more likely to experience bereavement and loss. The loss of a spouse, family members, or friends can be a major stressor, and can increase the risk of suicide.

Choice E rationale:

Diagnosis of schizophrenia is a significant risk factor for suicide.

People with schizophrenia are approximately 10 times more likely to die by suicide than the general population. Several factors contribute to this increased risk:

Schizophrenia is a severe mental illness that can cause significant distress and impairment.

People with schizophrenia may experience hallucinations, delusions, and disorganized thinking. These symptoms can be very distressing and can lead to feelings of hopelessness and despair.

People with schizophrenia may also experience social isolation and stigma. These factors can further increase the risk of suicide.

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 school nurse is talking with a 13-year-old female at her annual health-screening visit.Which of the following comments made by the adolescent should be the nurse's priority to address?

Correct Answer is D

Explanation

A nurse manager is discussing suicide with nursing staff.Which of the following should the manager identify as risk factors for suicide? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

A mental health nurse is caring for a client who has schizophrenia and generalized anxiety disorder (GAD). The client has a prescription for lorazepam 2 mg PO every 6 hr PRN anxiety.For which of the following client statements should the nurse consider administering lorazepam?

A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?

A nurse is preparing to administer fluoxetine 40 mg PO daily. The amount available is fluoxetine 20 mg/5mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies.Do not use a trailing zero.).

A nurse is caring for a client who has been diagnosed with end-stage liver cancer.Which of the following responses is an indication the client is in the denial phase of the grief process?

A psychiatric nurse assesses a client who commonly experiences anxiety.Which comment by this person indicates the possibility of obsessive-compulsive disorder (OCD)?

A nurse is preparing to administer diphenhydramine 50 mg PO every 6 hr to a client who has acute dystonia. The available medication is diphenhydramine 25 mg tablets. How many tablets should the nurse administer per dose?