Author Question: The nurse is caring for a client who works as a boxer. The client states, I was picked on a lot when ... (Read 27 times)

RRMR · **on:** Jul 8, 2018

The nurse is caring for a client who works as a boxer. The client states, I was picked on a lot when I was little, so I got really angry and now I work through the anger by boxing.

The nurse recognizes the client is demonstrating which ego defense mechanism?

a. Denial
b. Intellectualization
c. Sublimation
d. Repression

Question 2

A client who has been diagnosed with cancer asks the nurse, If I take the chemotherapy, will I be cured, or am I going to die anyway? The nurse's best response is

a. Tell me what prompted your question.
b. I don't think you should have chemotherapy; it will harm you more than help you.
c. Let's not talk about dying; I'm sure you will be cured.
d. I really don't think you should worry about such things; it isn't something you can control.

anyusername12131 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: C
Sublimation is redirecting socially unacceptable unconscious thoughts and feelings into socially approved outlets. Sublimation is used to channel extreme anger impulses into acceptable behaviorsfor example by becoming a butcher or boxer. Denial is the unconscious refusal to allow painful facts, feelings, or perceptions into awareness. Intellectualization is the unconscious focusing on only the intellectual and not the emotional aspects of a situation or circumstance. Repression is unconscious forgetting of parts or all of an experience.

Answer to Question 2

ANS: A
It is difficult to directly answer stress-related questions about uncertainties, like, If I take the chemotherapy, will I be cured, or am I going to die anyway? The reality is that there may be no single answer. It helps to ask the client what prompted the question and to have a good idea of the client's level of knowledge before answering. Allowing clients to be in charge of areas and issues that are not at odds with a treatment protocol and helping clients discover the real causes of their frustration can reduce stress through direct action. Clients experiencing stress should be given the opportunity to express their feelings, thoughts, and worries.