A nurse is planning a teaching for a group of clients about defense mechanisms. Which of the following information should the nurse include? (Select All that Apply.)
Defense mechanisms and coping strategies are the same and can be used interchangeably.
Defense mechanisms help a client positively deal with their stress.
Individuals develop certain defense mechanisms based on neurological and psychological growth as they age.
Maladaptive defense mechanisms have been shown to improve mental well-being.
Adaptive defense mechanisms help a person to accept a situation and transform it into something less stressful.
Adaptive defense mechanisms are typically seen in individuals with mature functioning.
Correct Answer : C,E,F
Rationale:
A. Defense mechanisms and coping strategies are not the same. Defense mechanisms are unconscious processes used to protect the individual from anxiety and internal conflicts, while coping strategies are conscious efforts to handle stress.
B. Defense mechanisms can be maladaptive and may not always help clients positively deal with stress. They can sometimes hinder adaptive functioning.
C. Defense mechanisms are indeed influenced by neurological and psychological growth. As individuals age, they develop more sophisticated and adaptive mechanisms.
D. Maladaptive defense mechanisms do not improve mental well-being; instead, they can often worsen mental health and impair functioning.
E. Adaptive defense mechanisms, such as sublimation and rationalization, help individuals manage stress more effectively and transform challenges into manageable situations.
F. Adaptive defense mechanisms are characteristic of more mature psychological functioning, reflecting a higher level of emotional resilience and coping.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Narcissistic personality disorder involves a grandiose sense of self-importance and a need for admiration, but it is not typically associated with aggressive behavior in public settings.
B. Antisocial personality disorder is characterized by a disregard for the rights of others, impulsivity, and aggressive behavior. Clients with this disorder may engage in unlawful activities and show no remorse for their actions, making this the most likely diagnosis for the client described.
C. Histrionic personality disorder involves attention-seeking behavior and emotionality, but it does not typically manifest in aggressive outbursts.
D. Borderline personality disorder involves instability in relationships, self-image, and emotions, and while it may include impulsivity, it is not primarily associated with aggressive behavior in public settings.
Correct Answer is B
Explanation
Rationale:
A. This response incorrectly defines suicide attempts and self-harm and oversimplifies the concept of self-harm.
B. A suicide attempt involves self-harm with the intent to die, whereas self-harm (or self-injury) involves harming oneself without the intention of death. This response accurately differentiates between the two.
C. Suicide attempts can involve self-harm, but not all self-harm is intended as a suicide attempt. This response conflates the terms.
D. The terms are not interchangeable; understanding their differences is crucial for accurate assessment and intervention.
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