Chapter 7: Coping and Defense Mechanisms

Chapter 7: Coping and Defense Mechanisms

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Your patient is sternly criticized by her doctor for not complying with the medication regimen. The patient walks out of the office and yells at the parking attendant. This may be an example of which defense mechanism?

A.	Projection
B.	Intellectualization
C.	Reaction formation
D.	Displacement

 

 

____     2.   Which of the following best describes what defense mechanisms are?

A.	Abnormal coping mechanisms
B.	Genetically “wired” responses
C.	Protective devices that reduce anxiety
D.	All of the above

 

 

____     3.   A new patient with schizophrenia is admitted to the psychiatric unit. He is standing at the locked exit door and yelling, “Help me, I don’t belong here.” This behavior is most likely an example of what defense mechanism?

A.	Denial
B.	Regression
C.	Enabling
D.	Projection

 

 

____     4.   Nurse Anne recognizes that John is always blaming others for his shortcomings. Finger pointing is usually related to the defense mechanism of:

A.	Scapegoating.
B.	Identification.
C.	Restitution.
D.	Avoidance.

 

Chapter 7: Coping and Defense Mechanisms

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  D

Displacement is transferring anger and hostility to another person or object that is perceived to be less powerful.

 

PTS:   1

REF:   Chapter 7: Coping and Defense Mechanisms; Table 7-1, Commonly Used Defense Mechanisms; page 108-109

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Coping | Cognitive Level: Application | Client Need: Psychosocial Integrity: Mental health concepts

 

2. ANS:  C

Defense mechanisms are learned responses to anxiety that help us cope with stress. Though they can be maladaptive, they are not considered abnormal.

 

PTS:   1                    REF:   Chapter 7: Coping and Defense Mechanisms; Defense Mechanisms; page 107

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Coping | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Mental health concepts

 

3. ANS:  A

This patient is struggling to accept a painful reality. Denial serves as a way to avoid this reality. Regression is emotionally returning to an earlier time in life when there was far less stress. Projection is blaming others. Enabling is not a defense mechanism.

 

PTS:   1

REF:   Chapter 7: Coping and Defense Mechanisms; Table 7-1, Commonly Used Defense Mechanisms; page 108-109

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: coping | Cognitive Level: Application | Client Need: Psychosocial Integrity: Coping mechanisms

 

4. ANS:  A

Scapegoating is blaming others for one’s own unacceptable behavior.

 

PTS:   1

REF:   Chapter 7: Coping and Defense Mechanisms; Table 7-1, Commonly Used Defense Mechanisms; page 109

KEY:   Integrated Processes: Teaching/Learning | Content Area: Mental Health: Coping | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Coping Mechanisms