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. "

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Closed posterior fontanel

By 6 months of age, the posterior fontanel typically closes. The posterior fontanel usually closes between 2 and 4 months of age. Therefore, a closed posterior fontanel is an expected finding at 6 months.

B. Lateral incisors

The eruption of lateral incisors typically occurs between 8 and 12 months of age. At 6 months, it is not expected for the infant to have erupted lateral incisors. Therefore, this finding would not be typical during a well-child visit at this age.

C. Uses thumb and index fingers in a pincer grasp

The development of the pincer grasp, where the infant can pick up small objects using the thumb and index finger, typically occurs around 9 to 12 months of age. While some infants may start to develop this skill around 6 months, it is more commonly seen later in the first year. Therefore, it is not a definitive finding at 6 months.

D. Sitting steadily without support

By 6 months of age, most infants can sit steadily without support. This is considered a developmental milestone that typically occurs around 6 months. Therefore, sitting steadily without support is an expected finding during a well-child visit at this age.

A. "I want to learn how to empty my child's urinary catheter bag." B. "I'm glad that my child's ostomy is only temporary. C. "I’m glad my child will have normal bowel movements now." D. "I want to learn how to use my child's feeding tube as soon as possible"

Correct Answer is B

Explanation

A. "I want to learn how to empty my child's urinary catheter bag."

This statement indicates a misunderstanding of the child's condition. Hirschsprung disease affects the large intestine and does not typically require a urinary catheter. Therefore, this statement does not demonstrate an understanding of the teaching.

B. "I'm glad that my child's ostomy is only temporary."

This statement indicates an understanding of the teaching. Hirschsprung disease can sometimes require the creation of a temporary ostomy as part of the surgical treatment. Recognizing that the ostomy is temporary reflects comprehension of the planned treatment.

C. "I’m glad my child will have normal bowel movements now."

This statement reflects a misunderstanding of the surgical treatment for Hirschsprung disease. While surgery can improve bowel function, it may not result in completely normal bowel movements. Therefore, this statement does not demonstrate an accurate understanding of the teaching.

D. "I want to learn how to use my child's feeding tube as soon as possible."

Hirschsprung disease and its surgical treatment typically do not involve the use of a feeding tube. Therefore, this statement indicates a misunderstanding of the child's condition and the planned treatment.

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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?

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