A nurse is planning a teaching for a group of clients about defense mechanisms. Which of the following information should the nurse include? (Select All that Apply.)
Defense mechanisms and coping strategies are the same and can be used interchangeably.
Defense mechanisms help a client positively deal with their stress.
Individuals develop certain defense mechanisms based on neurological and psychological growth as they age.
Maladaptive defense mechanisms have been shown to improve mental well-being.
Adaptive defense mechanisms help a person to accept a situation and transform it into something less stressful.
Adaptive defense mechanisms are typically seen in individuals with mature functioning.
Correct Answer : C,E,F
Rationale:
A. Defense mechanisms and coping strategies are not the same. Defense mechanisms are unconscious processes used to protect the individual from anxiety and internal conflicts, while coping strategies are conscious efforts to handle stress.
B. Defense mechanisms can be maladaptive and may not always help clients positively deal with stress. They can sometimes hinder adaptive functioning.
C. Defense mechanisms are indeed influenced by neurological and psychological growth. As individuals age, they develop more sophisticated and adaptive mechanisms.
D. Maladaptive defense mechanisms do not improve mental well-being; instead, they can often worsen mental health and impair functioning.
E. Adaptive defense mechanisms, such as sublimation and rationalization, help individuals manage stress more effectively and transform challenges into manageable situations.
F. Adaptive defense mechanisms are characteristic of more mature psychological functioning, reflecting a higher level of emotional resilience and coping.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. A sense of power from restricting food intake is more indicative of anorexia nervosa, not bulimia nervosa.
B. An emotional high during binge-purge episodes is consistent with bulimia nervosa, as individuals with this disorder often experience a temporary sense of relief or pleasure during these episodes.
C. While bingeing and purging in secret can be a behavior seen in bulimia nervosa, the statement does not directly address the emotional aspects of the disorder.
D. Using laxatives solely for constipation is not specific to bulimia nervosa; it is a broader symptom management issue.
Correct Answer is B
Explanation
Rationale:
A. While inappropriate clothing might indicate a need for assessment of the client’s awareness or physical comfort, it is not as immediate a concern as the client's behavior.
B. The comment to the nurse is concerning as it may indicate disorganized thinking or potential for inappropriate behavior, which requires immediate attention for safety and therapeutic intervention.
C. A heart rate of 102/min is slightly elevated but not the most urgent issue compared to the client's behavior.
D. Elevated blood pressure should be monitored, but the priority is the client’s inappropriate behavior, which may affect safety.
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