Reaction formation is an unconscious mechanism that keeps unacceptable feelings out of awareness by using the opposite behavior. Instead of expressing hatred for the other person, the individual gives praise. Denial operates unconsciously to allow an anxiety-producing idea, feeling, or situation to be ignored. Projection involves unconsciously disowning an unacceptable idea, feeling, or behavior by attributing it to another. Repression involves unconsciously placing an idea, feeling, or event out of awareness. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 15-12, 66 (Table 15-2) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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20. An individual experiences sexual dysfunction and blames it on a partner by calling the person
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unattractive and unromantic. Which defense mechanism is evident? a. Rationalization b. Compensation c. Introjection d. Regression ANS: A
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Rationalization involves unconsciously making excuses for one’s behavior, inadequacies, or feelings. Regression involves the unconscious use of a behavior from an earlier stage of emotional development. Compensation involves making up for deficits in one area by excelling in another area. Introjection is an unconscious, intense identification with another person.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 15-11, 12, 66 (Table 15-2) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 21. A student says, “Before taking a test, I feel very alert and a little restless.” The nurse can
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ANS: D
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correctly assess the student’s experience as a. culturally influenced. b. displacement. c. trait anxiety. d. mild anxiety.
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Mild anxiety is rarely obstructive to the task at hand. It may be helpful to the patient because it promotes study and increases awareness of the nuances of questions. The incorrect responses have different symptoms.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 15-4, 64 (Table 15-1) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
22. A student says, “Before taking a test, I feel very alert and a little restless.” Which nursing
intervention is most appropriate to assist the student? a. Explain that the symptoms result from mild anxiety and discuss the helpful aspects. b. Advise the student to discuss this experience with a health care provider. c. Encourage the student to begin antioxidant vitamin supplements.
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