What is the name of the defense mechanism when a client channel drives or impulses that are unacceptable into constructive activities?
Sublimation
Regression
Undoing
Suppression
The Correct Answer is A
Sublimation is a defense mechanism in which socially unacceptable impulses or drives are redirected into socially acceptable activities or behavior. For example, someone who has aggressive tendencies may channel those impulses into playing competitive sports, or someone who has sexual desires may channel those impulses into creative work like painting or writing.
Regression refers to a defense mechanism where an individual retreats to an earlier stage of development, such as acting like a child when under stress. Undoing is a defense mechanism in which an individual tries to undo or negate a previous action or thought, such as making up for a mistake by performing a good deed. Suppression is a defense mechanism where an individual consciously avoids thinking about or dealing with certain thoughts or emotions.

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Correct Answer is C
Explanation
Sigmund Freud was an Austrian neurologist who developed psychoanalytic theory and therapy in the late 19th and early 20th centuries. He believed that unconscious thoughts, feelings, and experiences from childhood could influence behavior and mental health in adulthood. Psychoanalytic therapy is a type of talk therapy that aims to bring these unconscious thoughts and experiences to the surface, in order to help patients gain insight into their behavior and mental health.
Defence mechanisms are psychological strategies that individuals use unconsciously to protect themselves from anxiety and emotional pain. Freud identified several defense mechanisms, including repression, denial, projection, and displacement. Psychoanalytic therapy is designed to help patients identify and understand these defense mechanisms, in order to develop healthier coping strategies.
Dorothea Dix was a social reformer who advocated for the humane treatment of the mentally ill. Erick Erickson was a developmental psychologist who developed a theory of psychosocial development.
Hildegard Peplau was a nurse theorist who developed a theory of interpersonal relationships in nursing. None of these individuals were associated with the development of psychoanalytic therapy.
Correct Answer is A
Explanation
Disassociation is a defense mechanism that involves mentally separating oneself from a stressful or traumatic situation in order to maintain a sense of calm and focus. In this scenario, the nurse is able to block out the sirens and alarms, which may be causing stress and anxiety, and maintain a calm and focused demeanor while speaking with the client's family. This is an adaptive use of disassociation because it allows the nurse to provide effective care and support to the family despite the chaotic environment.
Denial is a defense mechanism that involves denying or minimizing the existence of a stressful or traumatic situation. Rationalization involves justifying or excusing one's behavior or actions. Altruism involves selflessly helping others as a way of dealing with one's own problems. In this scenario, none of these defense mechanisms are being used by the nurse.
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