A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?

Displacement

Compensation

Denial

Rationalization

Answer and Explanation

The Correct Answer is A

A.   Displacement involves redirecting emotions or behaviors from the original source to a less threatening or more accessible target. In this scenario, the client is redirecting his anger from his partner to the nurse, who is perceived as a safer target.
B.   Compensation involves overachieving in one area to compensate for deficiencies in another area and is not demonstrated in this scenario.
C.   Denial involves refusing to acknowledge the existence of a real situation or the feelings associated with it, which is not evident in the client's behavior.
D.   Rationalization involves creating logical or socially acceptable explanations for behaviors or feelings that are unacceptable, which is not demonstrated in the client's behavior in this scenario.

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Correct Answer is ["B","C","D"]

Explanation

A. Blaming others for one's own mistakes is not typically associated with PTSD. Individuals with PTSD may have heightened irritability or anger, but this does not necessarily translate to blaming others.
B. Difficulty concentrating on tasks is a common symptom of PTSD as individuals may be easily distracted by intrusive thoughts related to their trauma.
C. Difficulty falling or staying asleep is another symptom often reported by individuals with PTSD, which can be attributed to hyperarousal and intrusive thoughts.
D. Holding persistent negative beliefs about oneself is indicative of the negative alterations in cognition and mood associated with PTSD.
E. Talking excessively is not a common finding in PTSD. While some individuals may speak more when anxious, it is not a diagnostic criterion for PTSD.

A. The client reports frustration with finding an activity to relieve restless energy. B. The client will be unable to return home after discharge. C. The client asks to talk to someone about changes in their spiritual beliefs. D. The client has trouble remembering prescribed food restrictions.

Correct Answer is B

Explanation

A. Frustration with finding an activity to relieve restless energy may be addressed by the nursing or therapy team and does not specifically require involvement from a social worker.
B. Discharge planning, including concerns about the client's ability to return home, is a significant aspect of social work involvement in the client's care.
C. Talking about changes in spiritual beliefs may be addressed by a chaplain or spiritual counselor rather than a social worker.
D. Difficulty remembering prescribed food restrictions may be addressed through education and support from nursing or dietary staff and does not specifically require involvement from a social worker.

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A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["B","C","D"]

Explanation

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Correct Answer is B

Explanation

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