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 B
Explanation
A. Neurological assessment is important, but not the priority since opioid overdose primarily causes life-threatening respiratory depression.
B. Respiratory assessment is the highest priority because opioids suppress the respiratory center, leading to hypoventilation, hypoxia, or apnea.
C. Hepatic assessment is not the immediate concern in acute overdose.
D. Cardiovascular assessment is necessary, but respiratory status takes precedence because airway and breathing are life-sustaining priorities.
Correct Answer is A
Explanation
A. Heroin is an opioid, which causes central nervous system depression, leading to drowsiness, miosis (pinpoint pupils), and slurred speech.
B. These are more typical of stimulant use such as cocaine or methamphetamine, not heroin.
C. These are withdrawal symptoms of opioids, not effects immediately following injection.
D. These are associated with stimulant intoxication or withdrawal, not opioid intoxication.
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