The student nurse notes that a client uses a number of behaviors ...

[ereecah]

The student nurse notes that a client uses a number of behaviors designed to relieve anxiety. The
  student asks the coassigned staff nurse if ego defense mechanisms and security operations are
  identical.
 
  The nurse should explain that, although both are unconsciously determined and designed
  to relieve anxiety, the major difference is that
  a. defense mechanisms are always intrapsychic and not observable.
  b. defense mechanisms always lead to arrested personal development.
  c. security operations are interpersonal relationship activities.
  d. security operations are masterminded by the id and superego.

Question 2

A physical therapist recently convicted of multiple counts of Medicare fraud is brought to the
  emergency department after taking an overdose of sedatives. He tells the nurse Sure I overbilled.
 
  Why not? Everybody takes advantage of the government. They have too many rules. No one can
  abide by all of them.. These statements can be assessed as showing
  a. glibness and charm.
  b. superficial remorse.
  c. lack of guilt feelings.
  d. excessive suspiciousness.

[izzat]

Answer to Question 1

ANS: C
Sullivan's theory explains that security operations are interpersonal relationship activities designed
to relieve anxiety. Because they are interpersonal in nature they can be observed. Option A: Defense
mechanisms are unconscious and automatic. Repression is entirely intrapsychic, but other
mechanisms result in observable behaviors. Option B: Frequent, continued use of many defense
mechanisms often results in reality distortion and interference with healthy adjustment and
emotional development. Occasional use of defense mechanisms is considered normal and does not
markedly interfere with development. Option D: Security operations are ego centered.

Answer to Question 2

C
Rationalization is being used to explain behavior and deny wrongdoing. Option B: The individual
who does not believe he or she has done anything wrong will not manifest anxiety, remorse, or guilt
about the act. Options A and D: The client's remarks cannot be assessed as charming, and lack of
trust and concern that others are determined to harm him are not shown.

[ereecah]

TYSM

[sailorcrescent]

Great answer, keep it coming