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 D
Explanation
A. A client requests extra blankets when the thermostat in the room indicates 25.6° C (78° F): This behavior does not necessarily indicate delirium. It could be a response to feeling cold or a preference for additional warmth. While it may warrant further assessment, it is not a classic manifestation of delirium.
B. A client wants to know the current time while there is a clock on the wall: Asking about the time does not specifically indicate delirium. The client may simply want confirmation or may not have noticed the clock on the wall. This behavior is more likely related to memory or orientation than delirium.
C. A client refuses to get out of bed and has no motivation to attend to daily hygiene: This behavior may be concerning and could indicate depression or another mental health issue, but it is not a classic manifestation of delirium. Delirium typically involves acute changes in mental status, including confusion, disorientation, and fluctuating levels of consciousness.
D. A client attempts to climb out of bed and repeatedly states she must get home: This behavior is indicative of delirium. Attempting to leave the bed or facility and expressing a strong desire to go home, especially when it is not feasible or safe to do so, is a classic manifestation of delirium. Delirium often involves confusion, agitation, and impaired judgment, leading the individual to act in ways that are out of character or irrational.
Correct Answer is B
Explanation
A. Rickets: Rickets is a condition caused by a deficiency of vitamin D, calcium, or phosphate, leading to softening and weakening of the bones. While milk is a good source of vitamin D and calcium, excessive consumption of milk alone may not necessarily lead to rickets unless the child has inadequate exposure to sunlight or a diet lacking in other essential nutrients.
B. Iron deficiency anemia: This is the correct choice. Excessive consumption of milk, particularly if it replaces solid foods in the diet, can lead to iron deficiency anemia in toddlers. Cow's milk is low in iron and can inhibit iron absorption from other foods, leading to iron deficiency over time. Iron deficiency anemia can result in fatigue, weakness, developmental delays, and impaired cognitive function in young children.
C. Obesity: While excessive milk consumption can contribute to excessive calorie intake, leading to weight gain and potentially obesity, the scenario describes a toddler with a poor appetite for solid foods. Therefore, the primary concern in this case is not obesity but rather the risk of nutritional deficiencies, particularly iron deficiency anemia.
D. Diabetes mellitus: Excessive milk consumption alone is not a direct risk factor for diabetes mellitus in toddlers. However, a diet high in refined sugars and excessive calorie intake, including from milk, can contribute to the development of obesity and insulin resistance, increasing the risk of type 2 diabetes mellitus later in life. However, the primary concern in this scenario is the risk of nutritional deficiencies, particularly iron deficiency anemia, rather than diabetes mellitus.
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