A nurse is speaking to the family of a Trauma victim. The nurse is blocking out the siren and alarm noises while speaking with the client’s family. They ask,” How can you be so calm and focused with all this noise going on?” The nurse is practicing which defense mechanism?
Disassociation-adaptive
Denial-adaptive
Rationalization-maladaptive
Altruism-maladaptive
The Correct Answer is A
Disassociation is a defense mechanism that involves mentally separating oneself from a stressful or traumatic situation in order to maintain a sense of calm and focus. In this scenario, the nurse is able to block out the sirens and alarms, which may be causing stress and anxiety, and maintain a calm and focused demeanor while speaking with the client's family. This is an adaptive use of disassociation because it allows the nurse to provide effective care and support to the family despite the chaotic environment.
Denial is a defense mechanism that involves denying or minimizing the existence of a stressful or traumatic situation. Rationalization involves justifying or excusing one's behavior or actions. Altruism involves selflessly helping others as a way of dealing with one's own problems. In this scenario, none of these defense mechanisms are being used by the nurse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
It is important for healthcare providers to respect their clients’ cultural beliefs and practices, including their use of traditional healing methods. If the healing practices are not harmful to the client’s health, the nurse should allow the client to continue using them as part of their care. The nurse can also work with the client to integrate these practices into their overall treatment plan.
Correct Answer is ["A","B","D","E"]
Explanation
These are all indicators of mental health. Perception of reality refers to the ability to accurately perceive and interpret the world around us. Love and belonging refer to the need for social connections and relationships. Positive self-thought refers to having a positive self-image and self-esteem. Environmental mastery refers to the ability to effectively navigate and control one’s environment. Dependency is not an indicator of mental health.

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