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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This response acknowledges the patient’s feelings without confirming or denying the delusion. It helps establish trust while maintaining therapeutic communication. By focusing on the patient’s underlying concern, it avoids reinforcing the delusional content.
Choice B reason: Stating that the CIA is prohibited in health care facilities engages with the delusion, which is non-therapeutic because it validates the false belief.
Choice C reason: Redirecting away from the delusion may seem dismissive and does not address the patient’s immediate feelings of fear or concern. This could cause the patient to feel unheard.
Choice D reason: Telling the patient they have “lost touch with reality” is confrontational and could increase defensiveness. It is not supportive or therapeutic in building rapport.
Correct Answer is A
Explanation
Choice A reason: The Durham Rule states that a defendant is not criminally responsible if their unlawful act was the result of a mental illness or defect. This directly matches the legal standard, making it the correct choice.
Choice B reason: The “irresistible impulse” test applies when a person cannot control their actions despite knowing right from wrong. This is not the Durham Rule’s standard.
Choice C reason: This statement describes the M’Naghten Rule, which requires proof that the defendant did not understand the wrongfulness of their act. It does not represent the Durham Rule.
Choice D reason: Temporary intoxication or delirium does not meet the criteria under the Durham Rule. Voluntary intoxication in particular is not considered a valid legal defense.
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