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Ms. J. is feeling incompetent to complete an assigned task at work. She tells her supervisor that she doubts her co-workers can handle the task. She is demonstrating

Depression

Sublimation

Projection

Phobia

Answer and Explanation

The Correct Answer is C

A. Depression:

Depression involves feelings of sadness, hopelessness, and lack of energy, not attributing one’s feelings to others.

B. Sublimation:

Sublimation is a positive defense mechanism where unacceptable impulses are transformed into constructive activities (e.g., channeling anger into sports).

C. Projection:

Projection is a defense mechanism where a person attributes their own unwanted feelings or traits onto others. Ms. J. feels inadequate but accuses coworkers of incompetence.

D. Phobia:

A phobia is an irrational fear of a specific object or situation. This scenario does not reflect fear, but rather misplaced feelings of inadequacy.

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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. Taking the time to convey respect for the patient B. Having an expectation that the patient will get better C. Demonstrating through your expression and posture that you are listening D. Believing that the patient will not improve

Correct Answer is D

Explanation

A. Taking the time to convey respect for the patient

Respect promotes trust and therapeutic alliance.

B. Having an expectation that the patient will get better

Positive expectations support hope and motivation for recovery. They are helpful, not harmful.

C. Demonstrating through your expression and posture that you are listening

Non-verbal communication reinforces that the nurse is engaged and empathetic—a cornerstone of therapeutic communication.

D. Believing that the patient will not improve

This attitude is harmful and defeatist. It may lead to substandard care and a lack of motivation to help the patient engage in treatment.

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Ms. J. is feeling incompetent to complete an assigned task at work. She tells her supervisor that she doubts her co-workers can handle the task. She is demonstrating

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Which of the following should be avoided when communicating with a mentally ill patient?

Correct Answer is D

Explanation

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