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 ["C","D","E"]

Explanation

A. Unaware of compulsions: Clients with obsessive-compulsive disorder (OCD) are usually aware of their compulsions, which are repetitive behaviors or mental acts performed in response to obsessions. Compulsions are typically recognized by the individual as excessive or unreasonable, although they feel driven to perform them.

B. Irrational fear of certain objects: While individuals with OCD may experience irrational fears or obsessions, these are not exclusive to the disorder. Phobias, generalized anxiety disorder, and other conditions can also involve irrational fears of specific objects or situations. OCD is characterized more by intrusive thoughts (obsessions) and repetitive behaviors (compulsions) rather than specific fears.

C. Perfectionist behavior: Perfectionism is a common characteristic of OCD. Individuals with OCD often feel a strong need for things to be perfect or "just right." They may spend excessive amounts of time on tasks to ensure perfection or may be overly concerned with order, symmetry, or cleanliness.

D. Difficulty relaxing: Individuals with OCD often experience significant anxiety related to their obsessions and compulsions. This can make it difficult for them to relax or feel at ease, as their symptoms may constantly occupy their thoughts and compel them to engage in repetitive behaviors.

E. Rule conscious behavior: People with OCD often exhibit rule-bound or rule-conscious behavior. They may adhere rigidly to specific routines, rituals, or rules in an attempt to alleviate anxiety or prevent perceived negative consequences associated with their obsessions. This behavior can manifest as strict adherence to self-imposed rules or rituals, even when these behaviors are not logically connected to the obsession.

A. Separates easily from primary care giver for short periods of time B. Explains the difference between right and wrong C. Cooperates in doing simple chores D. Prints letters and numbers

Correct Answer is A

Explanation

A. Separates easily from primary caregiver for short periods of time: This is the correct choice. Toddlers typically begin to demonstrate increased independence and are able to separate from their primary caregiver for short periods of time without significant distress. This developmental task reflects the toddler's growing sense of autonomy and confidence in exploring their environment.

B. Explains the difference between right and wrong: While toddlers may begin to understand simple rules and expectations, they are not yet capable of explaining the difference between right and wrong in a comprehensive or abstract manner. Moral development occurs gradually over time and is influenced by various factors, including socialization and parental guidance.

C. Cooperates in doing simple chores: Toddlers may begin to imitate or participate in simple household tasks or routines, but their level of cooperation is typically limited and may vary depending on individual temperament and developmental readiness. While involvement in chores can promote a sense of responsibility and independence, toddlers are still in the early stages of learning basic self-care skills and may require supervision and assistance.

D. Prints letters and numbers: The ability to print letters and numbers typically emerges during the preschool years, around ages 3 to 5, as part of the development of fine motor skills and early literacy. Toddlers are not developmentally ready to master the precision and coordination required for printing letters and numbers. Their focus during the toddler stage is primarily on gross motor skills, sensory exploration, and language development.

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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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Correct Answer is A

Explanation

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