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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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Rationale:

A. The primary criterion for removing restraints is that the client must be calm and cooperative, indicating that the immediate safety concern has been addressed.

B. Verbalizing remorse is not a requirement for removing restraints; the focus is on the client's behavior and cooperation.

C. The provider does not need to be present for the nurse to assess the client's readiness for removal of restraints, although provider orders and assessments are important.

D. Simply verbalizing anger does not indicate that the restraints can be removed; the client must demonstrate appropriate behavior and cooperation.

A. Assign the client to a room with other clients who require droplet precautions. B. Modify the protocol for donning and removing personal protective equipment before entering or leaving the client's room. C. Have staff and visitors wear gowns, masks, and gloves while in the client's room. D. Place the client in a private room with a special ventilation system.

Correct Answer is D

Explanation

Rationale:

A. Clients with active tuberculosis should not be placed in a room with other clients, even if they require droplet precautions, as TB requires airborne precautions.

B. While PPE protocols are important, the most critical precaution for TB is ensuring the client is in the correct environment to prevent airborne transmission.

C. Wearing gowns, masks, and gloves is important, but the most essential measure is the room's ventilation system.

D. Active tuberculosis is an airborne infectious disease, so the client should be placed in a private room with a negative pressure ventilation system to prevent the spread of the bacteria through the air.

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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.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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