Two staff nurses applied for a charge nurse position

14.
Two staff nurses applied for a charge nurse position.
After the promotion was announced, the nurse who was
not promoted said, The nurse manager had a headache
the day I was interviewed. Which defense mechanism is
evident?
a.
Introjection
c.
Projection
b.
Conversion
d.
Splitting
ANS: C
Projection is the hallmark of blaming, scapegoating,
prejudicial thinking, and stigmatizing others.
Conversion involves the unconscious transformation of
anxiety into a physical symptom. Introjection involves
intense, unconscious identification with another person.
Splitting is the inability to integrate the positive and

negative qualities of oneself or others into a cohesive
image.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 281-283 (Table 15-2) TOP: Nursing Process:
Assessment
MSC: Client Needs: Psychosocial Integrity
15.
A patient tells a nurse, My new friend is the most
perfect person one could imagine: kind, considerate, and
good-looking. I cant find a single flaw. This patient is
demonstrating:
Idealization is an unconscious process that occurs when
the individual attributes exaggerated positive qualities to
another. Denial is an unconscious process that would
call for the nurse to ignore the existence of the situation.
Projection operates unconsciously and would result in
blaming behavior. Compensation would result in the
nurse unconsciously attempting to make up for a
perceived weakness by emphasizing a strong point.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: Page 281-283 (Table 15-2) TOP: Nursing Process:
Assessment
MSC: Client Needs: Psychosocial Integrity
16.
A patient experiences a sudden episode of severe
anxiety. Of these medications in the patients medical

record, which is most appropriate to give as a prn
anxiolytic?
Lorazepam is a benzodiazepine used to treat anxiety. It
may be given as a prn medication. Buspirone is long
acting and is not useful as a prn drug. Amitriptyline and
desipramine are tricyclic antidepressants and considered
second- or third-line agents.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Page 293 | Page 295-297 (Table 15-12)
TOP: Nursing Process: Implementation MSC: Client Needs:
Physiological Integrity