4 Stress and Defense Mechanisms

Question 1

defense mechanisms that have no adaptive uses

Answer 1

• conversion
• splitting
• projection

Question 2

defense mechanisms that are always healthy

Answer 2

• altruism

- sublimination

Question 3

suppression

Answer 3

voluntary denying unpleasant thoughts + feelings

Question 4

suppression

adaptive vs maladaptive examples

Answer 4

A: student puts off thinking about a recent fight to focus on studying
M: person who lost a job states they will worry about paying bills next week

Question 5

repression

Answer 5

unconsciously putting unacceptable ideas, thoughts, + emo out of awareness

Question 6

adaptive vs maladaptive examples

Answer 6

A: unsconsciously forgetting about the time he got BOOd onstage bc hes about to give a speech
M: fear of dentist makes him forget about his dental appt

Question 7

regression

Answer 7

sudden childlike behavior that that doesnt match pt’s developmental level

Question 8

regression

adaptive vs maladaptive examples

Answer 8

A: kid temp wets the bed when his pet died
M: person got in a disagreement w coworker + starts thrashing

Question 9

displacement

Answer 9

sharing feelings r/t object, person, or situation to ANOTHER LESS THREATENING object, person, or situation

Question 10

displacement

adaptive vs maladaptive examples

Answer 10

A: pt angrily punches a punching bad
M: pt got fired + destroy’s their son’s fav toy

Question 11

reaction formation

Answer 11

unacceptable feelings or behaviors are controlled or kept out of awareness by overcompensating/demonstrating the opposite behaviors of what is felt

Question 12

reaction formation

adaptive vs maladaptive examples

Answer 12

A: person whois quitting smoking talks to kids about dangers of nicotine
M: person who resents caring for aging parent becomes overprotective + restricts their freedom

Question 13

undoing

Answer 13

performing an act to make up for prior behaviors

-more common in kids

Question 14

undoing

adaptive vs maladaptive examples

Answer 14

A: adolescent completed their chores wo being prompted after a recent fight w parents
M: buying flowers/gifts after partner abuse

Question 15

rationalization

Answer 15

creating reasonable + acceptable explanations for unacceptable behavior

Question 16

rationalization

adaptive vs maladaptive examples

Answer 16

A: adolescent says “they must have a bf” after rejection
M: “i had to drive home to feed the dog” after drinking + driving

Question 17

dissociation

Answer 17

disruption in consciousness, memory, identity, or perception of environment

Question 18

dissociation

adaptive vs maladaptive examples

Answer 18

A: parent blocks out distracting noise of kids yelling to focus on driving
M: person forgets who they are following sex assault

Question 19

denial

Answer 19

pretending the truth is not reality

Question 20

denial

adaptive vs maladaptive examples

Answer 20

A: “this cant be true” after told they have cancer
M: “hes coming home for the holiday” even tho their he has been dead

Question 21

compensation

Answer 21

emphasizing strength to make up for weakness

Question 22

compensation

adaptive vs maladaptive examples

Answer 22

A: kid who cant play contact sport excells academically
M: person who is shy learns computer skills to avoid socialization

Question 23

identification

Answer 23

conscious/unconscious assumption of characteristics of another individual/group

Question 24

identification

adaptive vs maladaptive examples

Answer 24

A: kid w chronic illness plays nurse w dolls
M: kid observes parent being abusive + becomes bully

Question 25

intellectualization

Answer 25

separation of emotions + logical facts when analyzing or coping w situation or events

Question 26

intellectualization | adaptive vs maladaptive examples

Answer 26

A: police blocks out emo aspect of crime to focus on investigation M: focusing on creating a will + financial matters instead of grieving their terminal illness

Question 27

conversion

Answer 27

responding to stress thru the unconscious development of physical manifestations not caused by a physical illness

Question 28

conversion | maladaptive examples

Answer 28

person experiences deafness after divorce

Question 29

splitting

Answer 29

demonstrating an inability to reconcile neg + pos attributes of others -v black or white

Question 30

normal anxiety

Answer 30

healthy life force that is necessary for survival - motivates ppl to take action ex) violent situation in hospital, nurse has to take action

Question 31

acute anxiety

Answer 31

precipitated by imminenet loss or change that threaten's one's sense of security ex) sudden death of a loved one

Question 32

chronic anxiety

Answer 32

develops over time | -might display anxiety in physical manifestations (fatigue, frequent headaches)

Question 33

levels of anxiety

Answer 33

MILD MODERATE SEVERE PANIC

Question 34

mild anxiety

Answer 34

- normal experience in everyday living - incr ability to perceive reality - identifiable cause of anciety - vague discomfort, restless, irritability, impatience

Question 35

moderate anxiety

Answer 35

- occurs when mild anxt escalates - slight reduce perception + processing of info - concentration difficulty, pacing, shakey, incr HR + resp rate - somatic manifesations (headache, urinary urge/freqnt) - might need direction fr others

Question 36

severe anxiety

Answer 36

- greatly reduced perceptual field - no learning/prblm solvng - behavior is automatic - confusion, impending doom, hyper-vent, tachycard, loud rapid speech, aimless activity - unable to follow directions

Question 37

panic-level

Answer 37

- markedly disturbed behavior - not able to process whats happening - loss of touch w reality - extreme fright/horror - dilated pupils, severe skakiness, delusion, hallucination

Question 38

MILD-MOD ANXIETY nursing care

Answer 38

- active listening - provide calm presence - recognize pt distress - evaluate past coping mech - explore alternatives to problem - encourage activities/exercise

Question 39

SEVERE-PANIC LEVEL nursing care

Answer 39

- provide safe environment - remain w client + remain calm - quiet environment w minimal stimulation - medication/restraint only after less restrictive measures have failed - gross motor activities like walking - set limits w firm, short, simple statements - ----repetition might be needed, speak slowly in low pitch - acknowledge reality + focus on present environment