Defense Mechanisms
Smoker refuses to admit to themselves that smoking is bad for their health
What is denial?
The two primary psychological response patterns to stress
What are anxiety and grief?
Name for grouping of personality disorders described as dramatic, emotional, or erratic
What are Cluster B personality disorders?
Best predictor of future violent behavior
What is past history of violence?
Stage of grief where one might say “If God will help me through this, I promise I will go to church every Sunday”.
What is Bargaining?
A child who was abused by their parents later has no recollection of events, but may have trouble forming relationships
What is repression?
Name the coping mechanism: Client is informed that their significant other can’t visit on the unit due to bringing in contraband, client calls the nurse a %*#!
What is cursing?
Name the Personality Disorder: Characterized by intense and chaotic relationships, with affective instability and fluctuating attitudes toward other people. Impulsive, self- destructive/self-mutilates and lacks a clear sense of identity. Fears being alone
What is Borderline Personality Disorder?
Is viewed as the emotional response to one’s perception of a situation
What is anger?
________ is described as a response to a loss of a valued entity. Loss is anything that is perceived as such to the individual.
What is grief?
Someone who is frustrated by their boss at work goes home and kicks the dog
What is displacement?
Tease out the coping skill: Client states that when they were jogging they experienced shortness of breath, upon seeing their provider their blood pressure was 142/93, plans a cardiac stress test with EKG
What is physical exercise?
Name the Personality Disorder: Pattern of socially irresponsible, exploitative, and guiltless behavior that reflects a general disregard for the rights of others. Commonly breaks the law and has comorbid substance use disorder.
What is Antisocial Personality disorder?
________ is the key issue in the management
of aggressive or violent behavior
What is prevention?
______ _______ is defined as the accumulation of multiple losses over a short period of time.
What is bereavement overload?
Someone is attracted to someone else, upon feeling shame about this self-discovery they accuse their spouse of cheating
What is projection?
Name the coping mechanisms (at least 4): The nurse approaches a client for the morning assessment. The client is yawning and reports poor sleep, states they usually have a 6 pack of beer to get to sleep. Client requests their meds and asks for nicotine gum. Appetite intact and eats 100%, during breakfast socializing with peers and makes jokes.
What is yawning, drinking, smoking, eating, talking with someone and laughing (humor)?
Includes group skills training, individual psychotherapy, telephone contact and therapist consultation/team meetings.
What is Dialectical Behavior Therapy?
Described by Novitsky, _______ _______ is characterized by anxiety and tension, verbal abuse and profanity, and increasing hyperactivity. Includes rigid posture, clenched fists/jaw, defiant affect, rapid raised voice, arguing and demanding, etc.
What is prodromal syndrome?
The nurse is passed over for a promotion and feels disappointed. Claims to colleagues that they didn’t want so much responsibility after all. Making excuses is this classic defense mechanism.
What is Rationalization?
A client doesn’t want to think about their procedure tomorrow and instead goes to a movie
What is suppression?
Nursing theorist who in 1963 described the four levels of anxiety: mild, moderate, severe and panic.
Who is Peplau?
Nursing diagnosis defined as “vulnerable to behaviors in which an individual demonstrates that he or she can be physically, emotionally, and/or sexually harmful to self or others”.
What is risk for self-directed or other-directed violence?
Common nursing diagnosis for the individual who expresses anger inappropriately. Interventions include remaining calm, limit setting, avoiding touch, and role modeling.
What is Ineffective Coping?
“I like to go into the dressing room and swipe garments, corporations don’t have feelings” is a representative statement of this personality disorder.
What is Antisocial Personality Disorder?