Jane is a 21-year-old woman who says she cannot remember large parts of her childhood. She suspects she might have been sexually abused. According to Freudian theory, this would be an example of which defense mechanism?
Reaction formation
Sublimation
Repression
Projection
The Correct Answer is C
Choice A reason: Reaction formation involves converting unwanted or dangerous thoughts into their opposites. It does not explain memory loss or forgetting traumatic events.
Choice B reason: Sublimation is the channeling of unacceptable impulses into socially acceptable activities. It is a mature defense mechanism and not related to memory suppression.
Choice C reason: Repression is the unconscious blocking of unacceptable thoughts, feelings, or memories. In Freudian theory, traumatic experiences may be repressed to protect the individual from psychological distress.
Choice D reason: Projection involves attributing one’s own unacceptable thoughts or feelings to others. It does not account for memory loss or forgetting traumatic experiences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: While transference and countertransference are related, asking the client about their transference does not directly assess the clinician’s countertransference. This approach lacks introspective value.
Choice B reason: Avoiding clients with BPD due to potential countertransference is unethical and counterproductive. Clinicians must develop skills to manage countertransference, not avoid challenging clients.
Choice C reason: Monitoring one's emotional reactions to clients is the most direct and effective way to assess countertransference. This self-awareness allows clinicians to recognize when personal feelings may be influencing the therapeutic relationship.
Choice D reason: Setting professional boundaries is essential in managing countertransference but does not serve as an assessment strategy. It is a preventive and protective measure rather than a diagnostic tool.
Correct Answer is C
Explanation
Choice A reason: While encouraging autonomy is important, this response overlooks the potential danger of combining serotonergic agents. It may inadvertently reinforce unsafe behavior.
Choice B reason: Although tryptophan has been studied for its role in mood regulation, combining it with SSRIs like escitalopram increases the risk of serotonin syndrome—a potentially life-threatening condition. This response fails to address the safety concern.
Choice C reason: This response acknowledges the client’s progress while appropriately warning about the risk of serotonin syndrome. It maintains therapeutic rapport and provides necessary education about drug interactions.
Choice D reason: This response is overly critical and may damage the therapeutic relationship. It does not validate the client’s intent or provide constructive guidance.
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