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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:The patient is prescribed 50 mg of sertraline daily for 14 days. The total dosage is calculated as 50 mg/day × 14 days = 700 mg, making this the correct answer.
Choice B reason:A total of 500 mg would imply a daily dose of approximately 35.7 mg (500 ÷ 14), which does not match the prescribed 50 mg daily dose. This is incorrect.
Choice C reason:A total of 750 mg would imply a daily dose of approximately 53.6 mg (750 ÷ 14), which exceeds the prescribed 50 mg daily dose. This is incorrect.
Choice D reason:A total of 600 mg would imply a daily dose of approximately 42.9 mg (600 ÷ 14), which is less than the prescribed 50 mg daily dose. This is incorrect.
Correct Answer is ["B","C"]
Explanation
Choice A reason:Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), typically takes several weeks (often 4 to 6 weeks) to produce noticeable improvements in depressive symptoms. Stating that effects will be seen in 2 to 3 days is inaccurate and sets unrealistic expectations for the client.
Choice B reason:Decreased sex drive is a common side effect of fluoxetine and other SSRIs, resulting from changes in serotonin levels affecting sexual function. Informing the client about this potential effect is important for adherence and managing expectations.
Choice C reason:Reduced appetite is a possible side effect of fluoxetine, particularly in the early stages of treatment, as SSRIs can affect appetite regulation. Including this in the teaching helps the client anticipate and manage this change.
Choice D reason:Drooling is not a recognized side effect of fluoxetine. SSRIs like fluoxetine are more likely to cause dry mouth or other gastrointestinal effects, making this an incorrect piece of information to include in the teaching.
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