A patient with a panic disorder tells the nurse that she has a lot of job-related stress. Which response by the nurse is most therapeutic for this patient?

"Can you identify some of the things in your job that are causing you to feel stressed?"

"You need to avoid stressful situations; it would be wise to start looking for another job"

“I’m really sorry you have so much job stress."

"It is important to eliminate stressful situations so you can reduce your panic attacks.”

Answer and Explanation

The Correct Answer is A

A. “Can you identify some of the things in your job that are causing you to feel stressed?”

This is a therapeutic, open-ended question that encourages exploration of specific stressors, leading to problem-solving.

B. “You need to avoid stressful situations; it would be wise to start looking for another job.”

This is prescriptive and premature, suggesting avoidance rather than coping and reflection.

C. “I’m really sorry you have so much job stress.”

While empathetic, this does not promote further communication or assessment.

D. “It is important to eliminate stressful situations so you can reduce your panic attacks.”

Eliminating all stressors is unrealistic; this advice is not therapeutic and doesn’t address the client’s individual concerns.

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Correct Answer is A

Explanation

A. Suppression

Suppression is a conscious defense mechanism where an individual intentionally avoids thinking about distressing thoughts or feelings.

B. Projection

Projection involves attributing one’s own unwanted feelings or impulses to someone else (e.g., accusing someone else of being angry when you're the one feeling it).

C. Regression

Regression is reverting to an earlier developmental stage (e.g., a childlike state) to cope with stress or anxiety.

D. Rationalization

Rationalization is creating logical excuses to justify unacceptable behavior or feelings (e.g., "I failed the test because the teacher doesn’t like me").

A. Id B. Superego C. Ego D. Superid

Correct Answer is C

Explanation

A. Id:

The id is the primitive part of personality driven by pleasure and basic instincts (e.g., hunger, sex), with no concern for reality.

B. Superego:

The superego represents moral standards and ideals internalized from society and parents-focused on "shoulds" and guilt.

C. Ego:

The ego is the rational part that mediates between the id, the superego, and the external world. It operates based on the reality principle.

D. Superid:

This is not a valid Freudian term.

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