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 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.

A. The client drinks 2 liters of liquids daily. B. The client runs 4 miles outdoors every afternoon. C. The client eats 2 to 3 gm of sodium-containing foods daily D. The client eats foods high in tyramine

Correct Answer is B

Explanation

A. The client drinks 2 liters of liquids daily: Adequate hydration is important when taking lithium to prevent dehydration, which can increase lithium levels. Drinking 2 liters of liquids daily is appropriate and helps maintain hydration, reducing the risk of lithium toxicity.

B. The client runs 4 miles outdoors every afternoon: Vigorous exercise and excessive sweating, such as running 4 miles outdoors daily, can lead to dehydration and increased lithium levels, thereby increasing the risk of lithium toxicity. Clients taking lithium should be advised to avoid excessive sweating and to maintain adequate hydration during exercise.

C. The client eats 2 to 3 gm of sodium-containing foods daily: Consuming sodium-containing foods helps prevent lithium toxicity by promoting lithium excretion through the kidneys. Adequate sodium intake is necessary to maintain lithium balance in the body. Eating 2 to 3 grams of sodium-containing foods daily is within the recommended range for clients taking lithium.

D. The client eats foods high in tyramine: Foods high in tyramine are associated with the risk of hypertensive crisis, particularly in clients taking monoamine oxidase inhibitors (MAOIs), not lithium. While dietary restrictions may be necessary for clients taking MAOIs, they are not relevant to lithium therapy.

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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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