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National Council Licensure Examination(NCLEX-PN) Questions 226–230 (page: 47)

Updated On: 9-Feb-2026

The nurse who was not promoted then went to the utility room and slammed several cupboard doors while looking for Kleenex.

This behavior exemplifies ______________.

  1. displacement
  2. sublimation
  3. conversion
  4. reaction formation

Answer(s): A

Explanation:

Displacement unconsciously transfers emotions associated with a person, object, or situation to another less threatening person, object, or situation. The nurse slammed doors instead of striking the promoted nurse or the administrator who made the promotion decision.
Sublimation is the unconscious process of substituting constructive activity for unacceptable impulses. This choice cannot be considered correct because the slamming of the cupboard doors cannot be considered a constructive activity.
Conversion involves unconsciously transforming anxiety into a physical symptom. Reaction formation keeps unacceptable feelings or behaviors out of awareness by using the opposite feeling or behavior.



Which of the following coping mechanisms protects an individual from anxiety?

  1. denial and fantasy
  2. rationalization and suppression
  3. regression and displacement
  4. reaction formation and projection

Answer(s): A

Explanation:

Denial, rationalization, regression, and fantasy are coping mechanisms that protect persons from anxiety.



Which activity is best employed to perform Milieu therapy?

  1. Investigating the client’s view of the world.
  2. Promoting socialization skills.
  3. Focusing on inappropriate behavior.
  4. Providing repetitive ordinary experiences on a daily basis.

Answer(s): D

Explanation:

Milieu therapy provides repetitive ordinary experiences on a daily basis, controls the environment by minimizing change as much as possible, and decreases disruptive behavior by keeping tasks simple.



When discussing the patterns of use of alcohol and other drugs, which piece of information should the nurse include?

  1. Lifetime prevalence and intensity of alcohol use is greater in women than men.
  2. Hispanics and African Americans have higher levels of alcohol use than Caucasians.
  3. Overuse of alcohol and other drugs increases into the mid-20s, then levels off and decreases with age.
  4. Heavy use is more common in higher socioeconomic groups because they can afford to buy the drugs.

Answer(s): C

Explanation:

Recent research reveals that 83% of all persons in the United States, age 12 or older, report using alcohol sometime in their lives.
Use of alcohol and illicit drugs appears to increase into the mid-20s, and then levels off and decreases with age.
Both lifetime prevalence and intensity of alcohol use are greater in males. Caucasians report higher levels of alcohol use than African Americans or Hispanics.
Those with more education are more likely to use alcohol, but heavy use is more common among the less educated and the unemployed.



A client is admitted with a diagnosis of Multiple Drug Use.

The nurse should plan care based on knowledge that ______________.

  1. multiple drug use is very uncommon
  2. people might use more than one drug to enhance the effect or relieve withdrawal symptoms
  3. alcohol and barbiturates used together are not dangerous because one is a stimulant and the other is a depressant
  4. assessment and intervention are easier with multiple drug use because of the synergistic effect

Answer(s): B

Explanation:

Simultaneous or sequential use of more than one substance is very common.
Multiple drug use can enhance, lessen, or change the nature of the intoxication, or relive withdrawal symptoms. Heroin users often also use alcohol, marijuana, or benzodiazepines.
Multiple drug use is especially dangerous if synergistic drugs are combined.
Multiple drug use complicates assessment and intervention because the client might be demonstrating the effects or withdrawal from several drugs.



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