A 40-year-old patient cries and has a tantrum when the health care provider refuses to give her a prescription for diet pills. The nurse realizes that this is the use of which defense mechanism?
Projection
Repression
Denial
Regression
The Correct Answer is D
A. Projection involves attributing one’s own unacceptable feelings or thoughts onto another person. However, in this case, the patient’s tantrum and crying are more about their own inability to handle the refusal rather than projecting feelings onto others.
B. Repression is a defense mechanism where distressing thoughts or feelings are unconsciously blocked from entering awareness. For instance, if the patient were to push aside their feelings of disappointment about not receiving the diet pills without expressing them, that would be repression.
C. Denial involves refusing to accept reality or facts that are distressing or threatening. However, the primary behavior in this situation is the tantrum and crying, which are more indicative of another defense mechanism rather than outright denial.
D. Regression is a defense mechanism where an individual reverts to behaviors characteristic of an
earlier developmental stage in response to stress or conflict. The patient’s crying and tantrum can be seen as regressive behavior because it reflects a return to more childlike or immature ways of handling frustration, similar to how a child might react to not getting what they want.
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Related Questions
Correct Answer is C
Explanation
A. Prozac is sometimes used to treat certain anxiety disorders, such as obsessive-compulsive disorder (OCD) and panic disorder, its primary indication is not for anxiety.
B. Prozac is not used to treat schizophrenia. Schizophrenia is a complex mental disorder that is usually managed with antipsychotic medications. Prozac, as an SSRI, does not address the primary symptoms of schizophrenia, such as delusions and hallucinations.
C. Prozac is primarily prescribed for the treatment of major depressive disorder (MDD). It is one of the most commonly used SSRIs for managing depression. The medication works by increasing levels of serotonin in the brain, which can help improve mood and alleviate symptoms of depression.
D. Prozac is not typically used as the primary treatment for bipolar disorder. While it may be used in combination with mood stabilizers for managing depressive episodes in bipolar disorder, it is not used alone due to the risk of potentially triggering manic episodes.
Correct Answer is A
Explanation
A. Lithium has a narrow therapeutic index, meaning the difference between a therapeutic dose and a toxic dose is small. Frequent monitoring allows for early detection of rising lithium levels, preventing toxicity.
B. While monitoring lithium levels is important for overall treatment, it's not primarily used to identify relapse.
C. Lithium primarily affects the kidneys, not the liver. Liver function tests are important for overall health monitoring but are not the primary reason for frequent lithium level checks.
D. While this is a goal, the primary reason for such frequent monitoring is to prevent toxicity, which can occur rapidly.
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