A nurse is providing care for a client who seems anxious following a recent tragedy. Which of the following statements by the client reflects an adaptive use of sublimation?
I will work out in the gym every time I get mad about what happened.
I can’t remember anything that happened, but I am okay.
I do not have anxiety, and I’m not sure why you think I do.
I’m not capable of moving past this time in my life.
The Correct Answer is A
Choice A reason: Sublimation is a defense mechanism where negative emotions, like anger, are channeled into positive or socially acceptable activities, such as exercise. Working out in the gym when feeling mad transforms the emotion into a constructive outlet, reflecting adaptive use of sublimation.
Choice B reason: Forgetting the event suggests repression or dissociation, not sublimation. This response does not involve channeling emotions into productive activities and is not adaptive for addressing anxiety.
Choice C reason: Denying anxiety indicates denial, not sublimation. This statement avoids acknowledging the emotion rather than redirecting it into a positive action, making it non-adaptive.
Choice D reason: Expressing inability to move past the tragedy reflects rumination or despair, not sublimation. It does not involve transforming negative emotions into constructive behaviors, so it is not an adaptive response.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Being preoccupied with repetitive activities such as folding clothes can sometimes occur in individuals with obsessive-compulsive disorder or autism spectrum disorders, but it is not a defining feature of schizophrenia.
Choice B reason: Elation and unusual talkativeness are hallmark features of mania in bipolar disorder, not schizophrenia.
Choice C reason: Recurrent thoughts of past trauma are more characteristic of post-traumatic stress disorder (PTSD), not schizophrenia.
Choice D reason: Creating words that have no meaning, also called neologisms, is a common positive symptom of schizophrenia and reflects disorganized thought processes.
Correct Answer is C
Explanation
Choice A reason:Comparing the male nurse to the male doctor dismisses the client’s trauma-related concerns and may make her feel invalidated. It does not prioritize her comfort or safety, which is critical after a domestic abuse incident.
Choice B reason:Emphasizing the nurse’s capability ignores the client’s expressed discomfort with a male caregiver, which may be linked to her trauma. This response fails to address her emotional needs and safety concerns.
Choice C reason:Offering to reassign a female nurse respects the client’s preference and acknowledges the potential trauma-related sensitivity to male caregivers. This response prioritizes her comfort and trust in the care environment.
Choice D reason:Offering to assist with hygiene is irrelevant to the client’s request for a female nurse and does not address her concern about the gender of her caregiver. It fails to provide a solution to her stated discomfort.
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