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 B
Explanation
Choice A reason:Seeing purple bugs crawling on the wall suggests visual hallucinations, a symptom of schizophrenia rather than anxiety. Alprazolam, a benzodiazepine, is prescribed for anxiety, not psychotic symptoms, which are better managed with antipsychotics.
Choice B reason:A pounding heart is a physical symptom of anxiety, indicating heightened arousal or panic. This aligns with the indication for alprazolam, which is used to relieve acute anxiety symptoms, making it appropriate to consider administering the medication.
Choice C reason:Claiming to be a government agent may reflect a delusion, a symptom of schizophrenia. Alprazolam is not indicated for delusions, which require antipsychotic treatment, so this statement does not warrant its use.
Choice D reason:Feeling too tired to attend a group meeting suggests fatigue, not necessarily anxiety. Alprazolam is not indicated for tiredness, which may require other interventions like rest or medical evaluation, making this an inappropriate trigger for administration.
Correct Answer is A
Explanation
Choice A reason:Reduced serotonin levels are strongly associated with depression, as serotonin regulates mood, sleep, and emotional stability. Many antidepressants, such as SSRIs, work by increasing serotonin availability in the brain, supporting its role in depression.
Choice B reason:Histamine is primarily involved in immune responses, wakefulness, and allergic reactions, not mood regulation. It is not commonly linked to depression, making it an incorrect choice.
Choice C reason:Glutamate is an excitatory neurotransmitter involved in learning and memory. While imbalances may play a role in some psychiatric conditions, it is not the primary neurotransmitter associated with depression.
Choice D reason:Norepinephrine is involved in arousal and stress responses, and its dysregulation can contribute to depression. However, serotonin is more consistently and prominently linked to the pathophysiology of depression, making it the better choice.
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