A nurse is caring for a client who has an anxiety disorder. The client transforms their anxiety into physical manifestations. The nurse should recognize that the client is exhibiting which of the following manifestations?

Reaction formation

Somatization

Sublimation

Intellectualization

Answer and Explanation

The Correct Answer is B

A.   Reaction formation is a defense mechanism where an individual expresses feelings or impulses that are the opposite of their anxiety-provoking unconscious feelings. For example, someone who harbors unconscious aggressive feelings might demonstrate exaggerated friendliness. However, this defense mechanism is more about behaviors and attitudes rather than physical manifestations.
B.   Somatization is the conversion of psychological distress into physical symptoms. It involves experiencing physical symptoms, such as pain or illness, without a clear medical cause. This defense mechanism is common in individuals with anxiety disorders who may manifest their anxiety through physical complaints rather than acknowledging their emotional distress.
C.   Sublimation involves channeling unacceptable impulses or emotions into socially acceptable behaviors. It does not typically involve physical manifestations but rather a redirection of emotions or impulses into constructive activities. For example, someone with aggressive impulses might channel them into sports or artistic pursuits.
D.   Intellectualization is a defense mechanism where reasoning and logic are used to distance oneself from uncomfortable or threatening feelings. It involves focusing on facts and avoiding emotions associated with a situation. This mechanism is more cognitive and may involve discussing or analyzing anxiety-inducing situations in a detached, rational manner.

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Correct Answer is B

Explanation

A. This response could come across as blaming or judgmental. It implies that the client made a mistake by not seeking help, which can exacerbate feelings of guilt or shame. It does not promote an open dialogue or supportive environment.
B. This response demonstrates empathy and a willingness to understand the client's emotional state leading up to the suicide attempt. It encourages open communication about the client's feelings and experiences, which is crucial for assessment and intervention planning.
C. This response suggests that the nurse is making assumptions about the client's emotions without allowing the client to express themselves fully. While guilt may be a common emotion after a suicide attempt, it's important for the nurse to first listen to the client's own description of their feelings.
D. This response minimizes the seriousness of the client's experience and emotions. It may invalidate the client's feelings of distress or despair that led to the suicide attempt. Such a response does not acknowledge the gravity of the situation or provide the necessary support.

A. Encouraging thought-stopping to block undesirable thoughts B. Making a unit calendar to promote orientation C. Playing board games with other clients to enhance cognition D. Discussing childhood memories during group therapy

Correct Answer is D

Explanation

A. Thought-stopping is a cognitive behavioral technique used to interrupt and replace negative or distressing thoughts. However, it is not directly related to reminiscence therapy. Reminiscence therapy focuses on stimulating memories and promoting positive reflections on past experiences rather than blocking thoughts.
B. Creating a unit calendar can be a helpful strategy to promote orientation to time and events for older adults, especially those who may have memory impairments. While this is a valuable activity for maintaining orientation, it is not specifically reminiscence therapy. Reminiscence therapy involves recalling and discussing personal memories rather than focusing on current events.

C. Playing board games can indeed enhance cognition by stimulating various cognitive functions such as problem-solving, memory, and social interaction. However, it is not considered reminiscence therapy. Reminiscence therapy involves specific guided discussions or activities that evoke memories from the past, which can promote emotional well-being and socialization through shared experiences.
D. This is the most appropriate strategy for reminiscence therapy. Discussing childhood memories encourages older adults to recall and share past experiences, fostering a sense of identity, meaning, and connection. It can also enhance self-esteem and provide opportunities for social interaction within a therapeutic context.

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A nurse is caring for a client who has an anxiety disorder. The client transforms their anxiety into physical manifestations. The nurse should recognize that the client is exhibiting which of the following manifestations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is obtaining a health history from a client who reports a recent suicide attempt. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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