During a group therapy session, a nurse notes several clients using multiple defense mechanisms. Which of the following client statements demonstrates the maladaptive use of regression?
"I don't care about work anymore since I was not given a promotion"
"I wrote a short story about a heroic woman when I was really mad at my boss."
" I still cannot remember the scene of my husband's car accident"
"I mentally separate myself from distractions around me when I paint on canvas. "
The Correct Answer is A
A. "I don't care about work anymore since I was not given a promotion":
This statement demonstrates the maladaptive use of regression. Regression involves reverting to an earlier stage of development in the face of unacceptable thoughts or impulses. In this case, the client's response to not receiving a promotion is to display a lack of interest in work, which can be seen as regressing to a less mature coping mechanism.
B. "I wrote a short story about a heroic woman when I was really mad at my boss."
This statement describes the defense mechanism of sublimation rather than regression. Sublimation involves channeling unacceptable impulses or emotions into more socially acceptable activities or behaviors. In this case, the client channels their anger into writing a short story, which is a constructive and creative outlet.
C. "I still cannot remember the scene of my husband's car accident":
This statement does not demonstrate regression. Instead, it suggests repression, which involves the unconscious blocking of unpleasant memories, thoughts, or feelings from conscious awareness. The client's inability to remember the scene of the accident may indicate repression as a defense mechanism.
D. "I mentally separate myself from distractions around me when I paint on canvas."
This statement describes the defense mechanism of dissociation rather than regression. Dissociation involves a disconnection between a person's thoughts, identity, consciousness, or memory. In this case, the client mentally separates themselves from distractions while painting, which is a form of dissociative coping.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Crayons and a coloring book: While crayons and coloring books can be entertaining, they may not be suitable for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions. Toddlers at this age are typically more interested in exploring objects and engaging in physical activities.
B. Large building blocks: Large building blocks are suitable for a 12-month-old toddler as they promote fine motor skills, hand-eye coordination, and spatial awareness. They also encourage imaginative play and problem-solving, which are important aspects of cognitive development at this age. Additionally, large blocks are easy to clean and sanitize, making them suitable for use in a hospital setting with contact precautions in place.
C. Hanging crib toys: Hanging crib toys are more appropriate for infants, particularly those who are younger than 12 months old. At 12 months of age, toddlers are usually more mobile and may not be as interested in stationary crib toys.
D. Modeling clay: Modeling clay is not recommended for a 12-month-old toddler, especially in a hospital setting with contact precautions. Modeling clay poses a choking hazard, and toddlers at this age may not have the dexterity or understanding to use it safely. Additionally, modeling clay can be difficult to clean and sanitize between uses, making it unsuitable for use in a hospital environment.
Correct Answer is D
Explanation
A. Negative Chvostek's sign: Chvostek's sign is a clinical sign of hypocalcemia, characterized by twitching of the facial muscles elicited by tapping over the facial nerve. A negative Chvostek's sign means that there is no twitching response, which is expected in individuals with normal calcium levels or hypercalcemia. Therefore, a preschooler with a calcium level of 8.0 mg/dL would likely not exhibit a negative Chvostek's sign.
B. Polyuria: Polyuria, or increased urine output, is not typically associated with hypocalcemia. Instead, it may be seen in conditions such as diabetes mellitus or diabetes insipidus, which affect water balance and urine production.
C. Dry, sticky mucous membranes: Dry, sticky mucous membranes are not characteristic findings of hypocalcemia. Instead, hypocalcemia may manifest with symptoms such as numbness or tingling around the mouth, hands, and feet; muscle cramps; and seizures. Mucous membrane changes are not typically specific to calcium levels.
D. Muscle tremors: Muscle tremors are a common manifestation of hypocalcemia. Low calcium levels can lead to increased neuromuscular irritability, resulting in muscle twitching or tremors. Other neuromuscular symptoms of hypocalcemia may include muscle cramps, tetany (prolonged muscle spasms), and seizures. Therefore, a preschooler with a calcium level of 8.0 mg/dL is more likely to exhibit muscle tremors as a result of hypocalcemia.
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