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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This is not a common symptom of an anxiety attack, although severe stress can sometimes lead to risky behaviors.
B. Decreased perceptions is less characteristic of anxiety attacks and are not typically used as indicators of severity
C. Increased motivation is less characteristic of anxiety attacks and are not typically used as indicators of severity
D. This overwhelming fear can manifest physically in various ways, including but not limited to, increased heart rate, sweating, trembling, shortness of breath, and a feeling of loss of control
Correct Answer is A
Explanation
Competitive games can create stress or pressure, which may exacerbate feelings of inadequacy or hopelessness in patients with severe depression. The competitive nature of these activities might lead to increased anxiety or feelings of failure, which can be counterproductive.
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