A patient who asked for and was refused a pass to leave the unit ...

[Frost2351]

A patient who asked for and was refused a pass to leave the unit left the nurse's station and went to his room, where he slammed his closet door several times while looking for a sweater.
 
  This behavior is an example of __________ use of __________ . a. adaptive use of displacement
  b. maladaptive use of sublimation
  c. adaptive use of repression
  d. maladaptive use of reaction formation

Question 2

When one is developing the care plan for a female adolescent with an eating disorder, the primary issue to consider as the underlying cause is:
 
  a. Control
  b. Body image
  c. Self-esteem
  d. Coping skills

[frogdreck123456]

Answer to Question 1

A
Displacement unconsciously transfers emotions associated with a person, object, or situation to another less threatening person, object, or situation. The patient slammed doors instead of discharging his feelings of anger against the individual who refused to give him the pass. Such behavior is adaptive in that it prevented aggression toward the source of his frustration. Sublimation is the unconscious process of substituting constructive activity for unacceptable impulses and by definition is an adaptive mechanism. Slamming of closet doors cannot be considered a constructive activity. Repression involves the unconscious blocking or exclusion of unacceptable thoughts or urges. In this case, the unacceptable impulses (to strike the nurse) are not blocked but redirected (displaced) instead. Reaction formation keeps unacceptable feelings or behaviors out of awareness by substituting the opposite feeling or behavior; reaction formation here would have involved the patient behaving protectively toward the nurse.

Answer to Question 2

A
Although any of the issues listed in these options can be an underlying cause, control is the primary issue with an eating disorder. The client often feels that this is the only thing in her life over which she has complete control.