chp 4: stress and defense mechanisms

Question 0

Sublimation

Answer 0

***deal w/ negative feelings & replace w/ acceptable actions
dealing with unacceptable feelings or impulses by unconsciously substituting acceptable forms of expression

working out vigorously after a hard day at work

Question 1

Altruism

Answer 1

***reaching out
dealing with anxiety by reaching out to others

a nurse who lost a family member in a fire is a volunteer firefighter

Question 2

suppression

Answer 2

***Voluntary forget
voluntarily denying unpleasant thoughts and feelings

a person who has lost his job states he will worry about paying his bills next week

Question 3

repression

Answer 3

*** unconsciously forget
putting unacceptable ideas, thoughts and emotions out of conscious awareness
a person w/ fear of dentist “forgets” his appointments

Question 4

displacement

Answer 4

shifting feelings r/t an object, person, or stituation to another less threatening object or person or situation

Question 5

reaction formation

Answer 5

***doing opposite of what is felt
overcompensating or demonstrating the opposite behavior of what is felt

a person who dislikes his sisters daughter offers to babysit her so that the sister can go out

Question 6

undoing

Answer 6

performing an act to make up for prior behavior

Question 7

projection

Answer 7

***blame others

blaming others for unacceptable thoughts and feelings

Question 8

splitting

Answer 8

demonstrating an inability to reconcile negative and postive attributes of self or others

Question 9

dissociation

Answer 9

***temporary suppression
temporarily blocking memories and perceptions from consciousness

an adolescent witnesses a shooting and is unable to recall any details of the event

Question 10

mild anxiety

Answer 10

occurs in normal experiences
identifiable cause of anxiety
increases one’s ability to perceive reality

Question 11

mild anxiety symptoms

Answer 11

vague feeling of discomfort
restlessness
irritability
impatience
apprehension
Finger or foot tapping
fidgeting

Question 12

Moderate anxiety

Answer 12

occurs when mild anxiety escalates
slightly reduced perception and processing of info
selective inattention may occur
ability to think clearly hampered

Question 13

mild anxiety symptoms

Answer 13

concentration difficulties
tiredness
voice tremors
shakiness
increased HR and RR

Question 14

Severe anxiety

Answer 14

perception field is greatly reduced with distorted perceptions
learning and problem-solving dont occur
functioning is ineffective

Question 15

severe anxiety symptoms

Answer 15

hyperventilation
feeling of doom
tachycardia
loud and rapid speech
*not able to take direction from others

Question 16

panic level anxiety

Answer 16

markedly disturbed behavior
not able to process what is occurring in environment
lose touch of reality
severe hyperactivity or flight
immobility
extreme fright or horror

Question 17

nursing interventions

mild to moderate levels

Answer 17

active listening
calm presence
encourage participation in activities

Question 18

nursing interventions

severe to panic levels of anxiety

Answer 18

provide environment that meets physical and safety needs of client
remain with client
use meds and restraint
encourage walking
use short and simple statements
direct the client to acknowledge reality and focus on what is present in environment

Question 19

a nurse is caring for a client who smokes and has lung cancer. the client reports, “im coughing cuhs i have that cold that everyone has been getting” which of the following defense mechanisms is the client using?

Answer 19

Denial

Question 20

A nurse is obtaining informed consent for a client who has just learned she must have a breast biopsy. The client is perspiring and pale, has a RR of 30/min, and says, “i dont quite understand what youre trying to tell me” the nurse should assess the client’s anxiety as…

Answer 20

moderate

Question 21

a nurse is caring for a client who is experiencing moderate anxiety. Which of the following is an appropriate nursing intervention when trying to give necessary info to the client

Answer 21

demonstrate a calm manner while using simple and clear language