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 A

Explanation

A. Assist the client to the correct room: This option addresses the immediate safety concern by guiding the client back to their own room, reducing distress for both the client and the other resident. It promotes dignity and minimizes the risk of agitation or further disruptive behavior.

B. Place the client in restraints: Restraints should only be used as a last resort for safety when all other measures have been exhausted and when there's an immediate risk of harm to the client or others. Restraints can be physically and psychologically harmful to individuals with Alzheimer's disease and should not be used unless absolutely necessary.

C. Reorient the client to time and place: Reorientation may not be effective for clients with advanced Alzheimer's disease, as their cognitive impairments may limit their ability to understand or retain this information. Additionally, reorientation may not address the immediate safety concern posed by the client's behavior.

D. Move the client to a room at the end of the hall: While this option may be considered in some situations to minimize disruption to other residents, it does not address the underlying issue of the client's confusion or wandering behavior. Additionally, moving the client may cause further distress and confusion.

A. "Try switching to a different formula. " B. "Burp your baby more frequently during feedings." C. "Bring your baby in to the clinic today." D. "Give your infant an oral rehydration solution."

Correct Answer is C

Explanation

A. "Try switching to a different formula." While switching formula might be an option if the infant is having feeding issues, projectile vomiting in a 2-month-old infant could indicate a more serious condition, such as pyloric stenosis. It's essential for the nurse to assess the infant's condition in person rather than recommending a formula change over the phone.

B. "Burp your baby more frequently during feedings." Burping the baby more frequently might help reduce gas but is unlikely to resolve projectile vomiting, which can be a sign of a medical issue requiring prompt attention.

C. "Bring your baby in to the clinic today." This response is the most appropriate because projectile vomiting in an infant, especially when combined with increased hunger, could indicate a serious condition like pyloric stenosis or other gastrointestinal problems. The infant needs to be assessed by a healthcare provider as soon as possible to determine the cause and initiate appropriate treatment.

D. "Give your infant an oral rehydration solution." Oral rehydration solutions are typically used to replenish fluids lost due to vomiting or diarrhea. However, in this case, the priority is to determine the cause of the projectile vomiting, which requires a thorough assessment by a healthcare provider.

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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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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has late-stage Alzheimer's disease and is hospitalized for treatment of pneumonia. During the night shift, the client is found climbing into the bed of another client who becomes upset and frightened. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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