A 25-year-old client is hospitalized for severe anxiety. During the assessment, the nurse notices the client clutches a childhood stuffed animal and speaks in a childlike voice when discussing stressful life events. Which defense mechanism is the client most likely using?
Displacement.
Regression.
Sublimation.
Repression.
The Correct Answer is B
Choice A reason: Displacement involves transferring feelings from one object or person to another safer target, which is not occurring here.
Choice B reason: Returning to earlier developmental behaviors, such as holding a childhood toy and speaking like a child during stress, is a clear example of regression.
Choice C reason: Sublimation is channeling unacceptable impulses into constructive activities, which is not shown in this scenario.
Choice D reason: Repression involves unconsciously blocking distressing thoughts or feelings, but in this case the client is acting out stress through childlike behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: NANDA-I provides standardized nursing diagnoses but does not list or categorize symptoms for specific psychiatric disorders.
Choice B reason: The Nursing Outcomes Classification focuses on measurable patient outcomes after interventions, not on identifying symptoms of mental disorders.
Choice C reason: The Nursing Interventions Classification outlines evidence-based nursing actions and strategies, but it does not define or organize psychiatric symptoms.
Choice D reason: The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) is the authoritative resource for identifying and categorizing symptoms of mental disorders. It provides diagnostic criteria and symptom patterns for each psychiatric condition, making it the correct choice.
Correct Answer is D
Explanation
Choice A reason: While it is true that untreated suicidal depression can be fatal, this response is confrontational and increases fear without addressing the spouse’s concern.
Choice B reason: Assuring the spouse that the client will not feel anything oversimplifies ECT. Though anesthesia prevents pain, this statement dismisses the spouse’s fears and does not encourage discussion.
Choice C reason: While medications do take weeks to be effective, simply giving this fact does not address the emotional concerns and fears about ECT being “cruel.”
Choice D reason: This response acknowledges the seriousness of the illness, explains why ECT may be necessary, and opens dialogue by inviting the spouse to share concerns. It is therapeutic, informative, and supportive, making it the best choice.
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