A nurse is speaking to the family of a Trauma victim. The nurse is blocking out the siren and alarm noises while speaking with the client’s family. They ask,” How can you be so calm and focused with all this noise going on?” The nurse is practicing which defense mechanism?

Disassociation-adaptive

Denial-adaptive

Rationalization-maladaptive

Altruism-maladaptive

Answer and Explanation

The Correct Answer is A

Disassociation is a defense mechanism that involves mentally separating oneself from a stressful or traumatic situation in order to maintain a sense of calm and focus. In this scenario, the nurse is able to block out the sirens and alarms, which may be causing stress and anxiety, and maintain a calm and focused demeanor while speaking with the client's family. This is an adaptive use of disassociation because it allows the nurse to provide eﬀective care and support to the family despite the chaotic environment.

Denial is a defense mechanism that involves denying or minimizing the existence of a stressful or traumatic situation. Rationalization involves justifying or excusing one's behavior or actions. Altruism involves selﬂessly helping others as a way of dealing with one's own problems. In this scenario, none of these defense mechanisms are being used by the nurse.

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Correct Answer is A

Explanation

Operant conditioning is a type of learning in which behavior is strengthened or weakened by the consequences that follow it. In this case, the clients are rewarded with opportunities to attend movie night and tokens for the concession area when they have achieved attending and participated in five focused therapeutic group sessions. This reward is intended to reinforce the desired behavior of attending and participating in group sessions.

A. Behavior therapy B. Milieu therapy C. Dialectical behavioral therapy D. Cognitive therapy

Correct Answer is C

Explanation

DBT is a type of psychotherapy that was originally developed to treat individuals with borderline personality disorder (BPD) but has since been used to treat a variety of mental health conditions. One of the core components of DBT is teaching clients skills to manage intense emotions and tolerate distressing situations.

These skills include mindfulness, emotion regulation, distress tolerance, and interpersonal eﬀectiveness. By learning and practicing these skills, individuals can better manage their emotions and cope with difficult situations without resorting to harmful behaviors.

Behavior therapy is a type of therapy that focuses on modifying behavior through reinforcement and conditioning techniques. Milieu therapy involves using the environment to promote positive behavior and social interaction. Cognitive therapy focuses on identifying and changing negative thought patterns. While these therapies may address emotions and distress, they do not have the same specific focus on emotion modulation and distress tolerance as DBT.

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A nurse is speaking to the family of a Trauma victim. The nurse is blocking out the siren and alarm noises while speaking with the client’s family. They ask,” How can you be so calm and focused with all this noise going on?” The nurse is practicing which defense mechanism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Clients are provided opportunities to attend Friday night movie night and tokens for the concession area when they have achieved attending and participating in five focused therapeutic group sessions. The nurse understands this is which form of therapy?

Correct Answer is A

Explanation

Which therapy focuses on the development of emotion modulation skills and distress tolerance?

Correct Answer is C

Explanation

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The nurse demonstrates active listening by what action?

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