Marie has just learned that she has failed her mental health nursing class. She tells her friends, "I knew that instructor was going to fail me. She has never liked me and has just been looking for an excuse to fail me all along." Marie's behavior is an example of which defense mechanism?

Regression

Repression

Rationalization

Reaction formation

Answer and Explanation

The Correct Answer is C

Choice A reason: Regression involves reverting to an earlier stage of development when faced with stress, which is not what Marie is doing.

Choice B reason: Repression involves unconsciously blocking out painful thoughts or feelings, which is different from Marie's conscious rationalization of her failure.

Choice C reason: Rationalization is a defense mechanism where an individual justifies an unacceptable behavior or feeling with a logical reason, avoiding the true explanation for the behavior. Marie is rationalizing her failure by blaming the instructor rather than accepting her own role in the outcome.

Choice D reason: Reaction formation involves behaving in a way that is opposite to what one truly feels, which is not applicable in Marie's case.

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Correct Answer is C

Explanation

Choice A reason: Echopraxia is the involuntary repetition of another person's movements or actions.

Choice B reason: Word salad refers to a confused or meaningless mixture of words and phrases, often seen in schizophrenia.

Choice C reason: Echolalia is the meaningless repetition of words just spoken by another person, occurring as a symptom of mental conditions.

Choice D reason: Illusion is a false idea or belief, or a deceptive appearance or impression.

A. Serve individual items that have sealed packaging. B. Serve warm foods that arrive from the kitchen with lids in place. C. Serve the same food that other clients in the dining room are eating. D. Serve the client's favorite foods in an attractive arrangement.

Correct Answer is A

Explanation

Choice A reason: Serving food in sealed packaging can help alleviate the client's fears of poisoning, as the intact seals provide visual assurance that the food has not been tampered with.

Choice B reason: While serving warm foods with lids may keep the food warm, it does not necessarily provide the same level of reassurance against the fear of poisoning as sealed packaging does.

Choice C reason: Serving the same food as others may not be effective if the client's delusions include beliefs that they are being specifically targeted.

Choice D reason: Although serving the client's favorite foods in an attractive arrangement may be appealing, it does not address the specific paranoid delusion of food being poisoned.

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Marie has just learned that she has failed her mental health nursing class. She tells her friends, "I knew that instructor was going to fail me. She has never liked me and has just been looking for an excuse to fail me all along." Marie's behavior is an example of which defense mechanism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who repeats a word or part of a word over and over might be said to have which of the following symptoms?

Correct Answer is C

Explanation

A nurse is caring for a client who has paranoid delusions and believes the hospital food is being poisoned by the staff. Which meal presentation should the nurse consider to be an effective method of encouraging nutritional intake?

Correct Answer is A

Explanation

The mental health status examination includes (select all that apply):

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