According to psychoanalytic theory, treatment of symptoms should involve which nursing action?
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A
Modifying client behaviors by manipulating the environment
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B
Expressing empathy and presenting reality
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C
Encouraging the client to note cause and effects of actions
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D
Recognizing and discussing the clients use of ego defense mechanisms
The statement that matches what is being asked is Recognizing and discussing the clients use of ego defense mechanisms.
B. Expressing empathy and presenting reality
This could seem tempting if the idea in “Expressing empathy and presenting reality” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
C. Encouraging the client to note cause and effects of actions
This would apply in a different scenario where the idea in “Encouraging the client to note cause and effects of actions ” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
D. Recognizing and discussing the clients use of ego defense mechanisms
This aligns with the concept that From a psychoanalytic perspective, understanding the use of ego defense mechanisms is important in making determinations about maladaptive behaviors, in planning care for clients to assist in creating change, or in helping clients accept themselves as unique individuals. Need: Psychosocial Integrity The underlying principle in the stem is best addressed by choosing the response that is both specific to the cue provided and consistent with evidence-informed psychiatric nursing practice. From a nursing standpoint, this selection guides assessment and interventions toward what is most clinically meaningful in the moment—risk reduction, safety, accurate appraisal, and support for adaptive coping.
Conclusion
What separates the best choice from the rest is specificity: the correct option addresses the exact mechanism, stage, or principle described. The other answers relate to nearby ideas, yet they miss the question’s focal point or misapply the concept to the situation.