Jason is a 31-year-old man in recovery for substance use disorder for methamphetamines. He states that he can stay sober for a few months but always relapses due to boredom. He finally was able to stay sober after he got involved in extreme sports (e.g., hang gliding, windsurfing, and parachuting). He told his nurse practitioner, “I had to literally get high in order to stop getting high.” This is an example of:
Sublimation
Suppression
Projection
Transference
The Correct Answer is A
Choice A reason: Sublimation is a mature defense mechanism where socially unacceptable impulses are transformed into socially acceptable actions. Jason’s shift from drug use to extreme sports channels his need for stimulation into a constructive outlet, making this a textbook example of sublimation.
Choice B reason: Suppression involves consciously choosing to delay or avoid dealing with distressing thoughts or feelings. Jason is not avoiding his impulses; he is redirecting them, which is more consistent with sublimation.
Choice C reason: Projection involves attributing one’s own unacceptable thoughts or feelings to someone else. Jason is not externalizing blame or emotions onto others, so this does not apply.
Choice D reason: Transference refers to redirecting feelings about significant others onto the therapist. Jason’s statement is about his own coping strategy, not about the therapeutic relationship.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: The forming phase is the initial stage of group development. During this phase, members are typically anxious and cautious as they try to understand the group’s purpose and their role within it. Concerns about acceptance, belonging, and potential rejection are prominent. Members may be hesitant to share openly and are focused on establishing safety and trust.
Choice B reason: The storming phase is characterized by conflict and power struggles. Members begin to assert their individual needs and challenge group norms or leadership. While tension may arise, the primary concern shifts from rejection to negotiating roles and influence within the group.
Choice C reason: In the norming phase, members begin to establish cohesion and shared norms. Trust increases, and the fear of rejection diminishes. Members feel more secure and begin to collaborate more effectively.
Choice D reason: The performing phase is marked by high-functioning collaboration. Members are comfortable with each other and focused on achieving group goals. Concerns about rejection are no longer central at this stage.
Correct Answer is C
Explanation
Choice A reason: Projection involves attributing one’s own unacceptable thoughts or emotions to another person. In this case, the nurse is not attributing her feelings to the client but recognizing them as her own.
Choice B reason: Transference refers to the client projecting feelings onto the therapist, often based on past relationships. This scenario describes the therapist’s reaction, not the client’s.
Choice C reason: Countertransference occurs when the therapist projects unresolved feelings onto the client, often based on personal history. The nurse’s recognition that the client reminds her of her mother and evokes anger is a textbook example of countertransference.
Choice D reason: Reaction formation involves expressing the opposite of one’s true feelings. The nurse is not masking her anger but acknowledging it, making this choice incorrect.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.