During a group therapy session, a nurse notes several clients using multiple defense mechanisms. Which of the following client statements demonstrates the maladaptive use of regression?

"I don't care about work anymore since I was not given a promotion"

"I wrote a short story about a heroic woman when I was really mad at my boss."

" I still cannot remember the scene of my husband's car accident"

"I mentally separate myself from distractions around me when I paint on canvas. "

Answer and Explanation

The Correct Answer is A

A. "I don't care about work anymore since I was not given a promotion":

This statement demonstrates the maladaptive use of regression. Regression involves reverting to an earlier stage of development in the face of unacceptable thoughts or impulses. In this case, the client's response to not receiving a promotion is to display a lack of interest in work, which can be seen as regressing to a less mature coping mechanism.

B. "I wrote a short story about a heroic woman when I was really mad at my boss."

This statement describes the defense mechanism of sublimation rather than regression. Sublimation involves channeling unacceptable impulses or emotions into more socially acceptable activities or behaviors. In this case, the client channels their anger into writing a short story, which is a constructive and creative outlet.

C. "I still cannot remember the scene of my husband's car accident":

This statement does not demonstrate regression. Instead, it suggests repression, which involves the unconscious blocking of unpleasant memories, thoughts, or feelings from conscious awareness. The client's inability to remember the scene of the accident may indicate repression as a defense mechanism.

D. "I mentally separate myself from distractions around me when I paint on canvas."

This statement describes the defense mechanism of dissociation rather than regression. Dissociation involves a disconnection between a person's thoughts, identity, consciousness, or memory. In this case, the client mentally separates themselves from distractions while painting, which is a form of dissociative coping.

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Correct Answer is B

Explanation

A. Withhold fluids until the client demonstrates a gag reflex: Withholding fluids until the gag reflex returns is not an appropriate intervention to prevent aspiration. The presence of a gag reflex does not guarantee the absence of aspiration risk. Additionally, depriving the client of fluids can lead to dehydration, which is not conducive to recovery.

B. Suction the nasopharynx as needed: This is the correct intervention to prevent aspiration in a client who is postoperative following anesthesia. Suctioning the nasopharynx helps remove secretions or blood that could obstruct the airway and lead to aspiration.

C. Perform chest physiotherapy: While chest physiotherapy may be beneficial for promoting lung expansion and clearing respiratory secretions, it is not specifically aimed at preventing aspiration. This intervention is more commonly used to manage conditions such as pneumonia or cystic fibrosis.

D. Place a bedside humidifier at the head of the client's bed: Using a bedside humidifier may help maintain airway moisture, but it does not directly address the risk of aspiration. While it can be a comfort measure, it is not a primary intervention for preventing aspiration in a postoperative client.

A. Imaginary playmates B. Erikson's stage of initiative versus guilt C. Negative behaviors characterized by the need for autonomy D. Demonstrations of sexual curiosity

Correct Answer is C

Explanation

A. Imaginary playmates:

Toddlers typically do not engage in activities involving imaginary playmates. This behavior is more common in preschool-aged children.

B. Erikson's stage of initiative versus guilt:

Erikson's stage of initiative versus guilt occurs during the preschool years, typically around ages 3 to 5. It involves children developing a sense of initiative to take on new tasks and challenges, balanced with feelings of guilt if they are overly criticized or restricted.

C. Negative behaviors characterized by the need for autonomy:

This is the correct answer. Toddlers are in Erikson's stage of autonomy versus shame and doubt. During this stage, which typically occurs between the ages of 1 and 3, toddlers strive to gain independence and autonomy. They may exhibit negative behaviors, such as temper tantrums or defiance, as they assert their independence and explore their environment.

D. Demonstrations of sexual curiosity:

Demonstrations of sexual curiosity typically emerge later in childhood, around the preschool years or later. Toddlers are not typically focused on sexual curiosity during this stage of development.

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During a group therapy session, a nurse notes several clients using multiple defense mechanisms. Which of the following client statements demonstrates the maladaptive use of regression?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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