A client is admitted to a psychiatric unit for treatment of a psychotic disorder. The client is at the locked exit door and is shouting. "Let me out! There's nothing wrong with me! I don't belong here!" The nurse identifies this behavior as which defense mechanism?
Denial
Regression
Projection
Rationalization
The Correct Answer is A
A. This is the defense mechanism where a person refuses to acknowledge a painful reality. In this case, the client is denying their illness and the need for hospitalization.
B. This involves reverting to childlike behaviors as a way to cope with stress. It doesn't fit the scenario.
C. This is attributing one's own unacceptable thoughts or feelings onto others. There's no evidence of this in the given situation.
D. This involves creating excuses to justify unacceptable behavior. The client is not justifying their behavior but denying it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Drilling holes in the skull to drain fluid is more aligned with procedures for treating conditions like hydrocephalus (accumulation of cerebrospinal fluid in the brain) rather than a lobotomy. A lobotomy involves more invasive alterations to brain tissue.
B. In a prefrontal lobotomy, the surgeon would sever the connections between the frontal lobes and other parts of the brain, including the thalamus, to disrupt neural pathways. This was done in an attempt to alter behavior and mood. The procedure aimed to modify the function of the frontal lobes to reduce symptoms of severe mental disorders, but it often had significant and detrimental side effects.
C. This description refers to electroconvulsive therapy (ECT), not a lobotomy. ECT involves applying electrical currents to the brain to induce controlled seizures and is used to treat severe depression and other mental health conditions. It is different from the surgical approach of a lobotomy.
D. This description does not accurately describe a lobotomy. The lobotomy procedure involved cutting or damaging brain tissue rather than inserting implants. The insertion of implants into the brain is not characteristic of lobotomy and is not a common practice in the historical context of this procedure.
Correct Answer is B
Explanation
A. Postpartum depression occurs after childbirth and is usually treated with a combination of psychotherapy, antidepressant medication, and support. While light therapy might have some benefits for mood disorders, it is not the primary treatment for postpartum depression.
B. Seasonal affective disorder is a type of depression that typically occurs at certain times of the year, usually in the winter months when there is less natural sunlight. Phototherapy, or light therapy, is considered an effective treatment for SAD as it helps to mimic natural sunlight and improve mood by influencing circadian rhythms and serotonin levels.
C. While light therapy can have effects on mood, it is generally not used as a primary treatment for bipolar disorder. Bipolar disorder is often managed with mood stabilizers and other medications to prevent mood swings.
D. While light therapy can be beneficial for some types of depression, it is not typically the first-line treatment for moderate depression. Moderate depression is usually treated with antidepressants, psychotherapy, or a combination of both.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
