During a peer group support session, a teenager shares that her ...

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During a peer group support session, a teenager shares that her little sister destroyed a valued collection of glass animals. Another member of the group says, I would have killed her.
 
   The teenager quickly denies angry feelings towards the little sister and states, She didn't do it on purpose. This is an example of the defense mechanism of: 1. Identification.
  2. Projection.
  3. Intellectualization .
  4. Reaction formation.

Question 2

A nurse generalist and advanced practice nurse both work on the staff of an inpatient unit. The advanced practice nurse has a comprehensive role as a primary caregiver in child psychiatry.
 
  Which of the following will be performed by the advanced practice nurse but not by the nurse generalist? 1. Explaining the treatment plan to a family
  2. Performing admission assessments
  3. Participating in discharge planning
  4. Providing one-to-one counseling

[ebe]

Answer to Question 1

4
Rationale: This is a reaction formation; the teen is unable to express anger toward her little sister. Projection involves internal feelings which are attributed to an outside source. Identification involves an unconscious attempt to be like someone else. Intellectualization involves a disconnect between thoughts and emotions.

Answer to Question 2

4
Rationale: Child psychiatricmental health nurses are involved in treatment, consultation, education, and medication supervision and are the mainstay of hospital treatment programs where they are responsible for daily treatment plans, ongoing one-to-one or group counseling, and management of the child's medication regimen. You will see advanced practice nurses as the primary caregivers for children with mental health problems, providing direct psychotherapy, working with the family, and managing the child's medications.