NCLEX-PN

Physical dependence occurs when stopping a drug causes adverse physical effects, which are more intense with abrupt cessation. Some drugs associated with physical dependence include cocaine, opioids, alcohol, and benzodiazepines. Also, physical dependence does not necessarily imply addiction. Addiction can manifest with or without physical dependency. (See Exploring Substance Abuse and Related Terminology ) 3. Place the following phases of crisis in the correct sequential order. Order each response with a number from first to last, with number 1 as the first phase of the crisis to number 4 which is the fourth phase of the crisis. 1.​ The signs and symptoms of General Adaptation Syndrome 2.​ Detachment and disorientation 3.​ Trying alternative methods of coping 4.​ The use of psychological ego defense mechanisms Explanation : The stages or phases of crisis, in the correct order, have the following characteristics: ●​ Level 1 Crisis : At this stage, clients typically experience anxiety and begin to use psychological ego defense mechanisms. ●​ Level 2 Crisis : Clients in a level two crisis may exhibit a loss of their ability to function. They may also experiment with alternative coping methods to address the crisis, as their current coping mechanisms are ineffective. ●​ Level 3 Crisis : Clients experiencing a level three crisis display signs and symptoms of the General Adaptation Syndrome, characterized by fight, flight, and panic responses. ●​ Level 4 Crisis : In a level four crisis, clients show severe signs and symptoms, including detachment from others, feeling overwhelmed, disorientation, and even thoughts of self-harm or harming others. (See Assessing Potential for Violence and Ensuring Safety Precautions ) 4. Your client in crisis is detaching from himself. Which psychological ego defense mechanism is this client most likely using? A.​ Displacement A.​ 3,2,1,4 B.​ 1,2,3,4 C.​ 4,3,2,1 D.​ 4,3,1,2 Correct Response : D

B.​ Sublimation C.​ Dissociation D.​ Reaction formation

Correct Response : C Explanation : Dissociation is a psychological defense mechanism where a person emotionally disconnects from a situation or time to temporarily avoid stress until they are prepared to confront it. Displacement allows individuals to express their anger in a way that is less harmful and socially acceptable. Sublimation occurs when someone transforms unacceptable urges or feelings into socially

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