A 37-year-old is involuntarily committed to outpatient treatment ...

[drink]

A 37-year-old is involuntarily committed to outpatient treatment after sexually molesting a 12-year-old child. The patient says, That girl looked like she was 19 years old. Which defense mechanism is this patient using?
 
  a. Denial
  b. Identification
  c. Displacement
  d. Rationalization

Question 2

Which nursing diagnosis is likely to apply to an individual with severe and persistent mental illness who is homeless?
 
  a. Insomnia
  b. Substance abuse
  c. Chronic low self-esteem
  d. Impaired environmental interpretation syndrome

[pratush dev]

Answer to Question 1

ANS: D
Rationalization is used to justify upsetting behaviors by creating reasons that would allow the individual to believe that the behaviors were warranted or appropriate. The patient is justifying the molestation of a minor. Denial is used to avoid dealing with the problems and responsibilities related to one's behaviors. Identification is incorporating the image of an emulated person and then acting, thinking, and feeling like that person. Displacement is the discharge of pent-up feelings onto something or someone else in the environment that is less threatening than the original source of the feelings.

Answer to Question 2

ANS: C
Many individuals with severe mental illness do not live with their families and are homeless. Life on the street or in a shelter has a negative influence on the individual's self-esteem, making this nursing diagnosis one that should be considered. Insomnia may be noted in some patients but is not a universal problem. Substance abuse is not an approved North American Nursing Diagnosis Association (NANDA) International diagnosis. Impaired environmental interpretation syndrome refers to persistent disorientation, which is not observed in a majority of the homeless.