A nurse is leading a family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of manipulating?
’She is always bossing me around. Should she do that?”
'Can you tell me the reason you get so upset when I go to the mall.”
’Please do not raise your voice at the children. I am the one who left the dishes in the sink.”
'If you keep saying that. I will tell everyone what you did last night.”
The Correct Answer is D
Explanation: Manipulation involves using indirect, underhanded, or deceptive tactics to control or influence others. In this statement, the speaker is using a veiled threat to control the behavior of another person.
This is an example of manipulative behavior, and the nurse should recognize it as such.
Option A is an example of a statement seeking clarification, not manipulation. The sibling is asking a question about the behavior of the other sibling.
Option A is an example of a statement aimed at understanding the other person's behavior, not manipulation.
Option C is an example of taking responsibility for one's actions and setting boundaries, not manipulation
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The technique described, where a client is placed in a situation that elicits high levels of anxiety or fear and is exposed to the feared stimuli in a safe and controlled environment, is known as flooding. In this case, the client with a fear of spiders is exposed to many spiders at once, which is an overwhelming and anxiety-provoking experience. However, the client is also aware that they are in a safe and controlled environment and can escape if necessary. Over time, this exposure should lead to a reduction in anxiety and fear.
Positive reinforcement involves rewarding desired behaviors to increase their likelihood of occurring in the future, while modeling involves learning by observing and imitating others' behaviors. Systematic desensitization involves gradually exposing a client to a feared stimulus while teaching relaxation techniques to reduce anxiety and fear.
Correct Answer is A
Explanation
Displacement is a defense mechanism in which an individual redirects their negative feelings or impulses from an object or person that is causing discomfort to a substitute object or person that is less threatening. In this scenario, the client is experiencing negative emotions due to losing their job but instead of dealing with the situation directly, they have redirected their anger towards the car windshield by throwing a rock. This behavior is maladaptive because it does not resolve the root cause of the negative emotions and instead causes harm to others.
Sublimation is a defense mechanism in which an individual channels their negative impulses or energy into socially acceptable behaviors or activities. Repression involves pushing unwanted thoughts or memories into the unconscious mind. Denial involves refusing to acknowledge the reality of a situation. None of these defense mechanisms are applicable to the scenario described.

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