A nurse is caring for a client who states, "Whenever I have to give a presentation at my job, my vision goes really blurry and my feet go numb." Which of the following defense mechanisms is the client describing?

Displacement

Conversion

Rationalization

Identification

Answer and Explanation

The Correct Answer is B

A. Displacement: Displacement involves shifting emotions from one target to another (e.g., yelling at a coworker after being scolded by a boss).

B. Conversion: Conversion disorder is when emotional distress manifests as physical symptoms, such as blurred vision or numbness.

C. Rationalization: Rationalization is justifying behaviors or feelings with logical explanations (e.g., “I didn’t get the job because the interviewer was biased”).

D. Identification: Identification involves imitating behaviors of another person (e.g., a child mimicking a parent’s speech).

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Correct Answer is C

Explanation

A. Asks about more information related to community support groups. While seeking information is helpful, it does not necessarily indicate internal motivation for change.

B. Writes a list of people who are important in their life. This is a positive step but does not necessarily demonstrate motivation for behavior change.

C. Reports that having family support is the reason for their confidence in changing. Expressing confidence in change due to family support shows personal motivation and a commitment to recovery.

D. Requests to end the interview early. Ending the interview early may indicate resistance or disengagement rather than motivation for change.

A. “I am trying to help you, but you haven't told me why you are overwhelmed yet." B. "Have you tried to avoid the situations that are causing you so much stress?" C. “Tell me about what you are doing to reduce or cope with your stress." D. “I would like to help you. Can you tell me more about what you are feeling?"

Correct Answer is D

Explanation

A. "I am trying to help you, but you haven't told me why you are overwhelmed yet." This response sounds dismissive and places responsibility on the client, which may increase their frustration.

B. "Have you tried to avoid the situations that are causing you so much stress?" Avoidance is not a healthy coping mechanism and does not encourage the client to express their feelings.

C. "Tell me about what you are doing to reduce or cope with your stress." While this encourages self-reflection, it does not validate the client’s distress or express empathy.

D. "I would like to help you. Can you tell me more about what you are feeling?" This response shows empathy, offers support, and invites the client to express their emotions, which are key aspects of therapeutic communication.

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A nurse is caring for a client who states, "Whenever I have to give a presentation at my job, my vision goes really blurry and my feet go numb." Which of the following defense mechanisms is the client describing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a client who has a substance use disorder. Which of the following client behaviors indicates that the nurse has successfully evoked the client's motivation?

Correct Answer is C

Explanation

A nurse is assisting in the care of a client who states, "I am overwhelmed by stress, and nobody is helping me." Which of the following represents a therapeutic response by the nurse?

Correct Answer is D

Explanation

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