A patient undergoing diagnostic tests says. "Nothing is wrong with me except a stubborn chest cold." The spouse reports the patient smokes, coughs daily. lost 15 pounds and is easily fatigued. Which defense mechanism is the patient using?
Regression
Projection
Denial
Displacement
The Correct Answer is C
A. Regression is reverting to earlier developmental behaviors (e.g., thumb-sucking under stress). The patient is not showing childlike behaviors.
B. Projection involves attributing one’s own unacceptable feelings to others. The patient is not blaming others for symptoms.
C. Denial is refusing to acknowledge a painful reality. Despite clear symptoms and diagnostic testing, the patient minimizes illness by attributing it to "just a stubborn chest cold."
D. Displacement is redirecting emotions onto a safer target (e.g., yelling at spouse instead of boss). Not evident here.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Occasional toileting accidents may be developmentally normal at age 3 and are not specific to autism spectrum disorder (ASD).
B. Interrupting or intruding on others is more consistent with ADHD than autism.
C. Crying when separated from a parent is typical of separation anxiety, not autism.
D. Repetitive motor behaviors such as rocking, hand-flapping, or spinning are characteristic of autism spectrum disorder. These stereotypical movements are used for self-stimulation and regulation.
Correct Answer is ["A","B","E"]
Explanation
A. Hypothermia (35.3°C/96.5°F) is dangerous and requires immediate intervention to prevent worsening metabolic and cardiovascular instability.
B. Slow respiratory rate (10/min), wheezes, crackles, productive cough, and hypoxemia (SpO₂ 90% on room air) indicate respiratory compromise and possible impending failure.
C. Although very high, it confirms intoxication but does not require immediate reporting compared to life-threatening findings.
D. Important for discharge planning and social work involvement, but not an immediate medical priority.
E. Hypotension (88/66 mmHg) threatens organ perfusion and needs urgent management.
F. Malnutrition is significant but not an immediate emergency compared to airway, breathing, circulation, and temperature concerns.
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