A charge nurse is educating a newly licensed nurse about various defense mechanisms. Which of the following examples should the charge nurse provide when discussing rationalization?

A client who has stomach pain before presenting a project to his coworkers.

A client whose partner died 5 years ago still talks about him in the present tense.

A client who states she will worry about her grades after she finishes planning a party.

A client who states she did not get a promotion because her boss dislikes her.

Answer and Explanation

The Correct Answer is D

Rationalization is a defense mechanism that involves making excuses or justifying one's behavior or failures. The client who blames their boss for not getting a promotion is using rationalization to avoid accepting responsibility or acknowledging their shortcomings. The other examples are not related to rationalization, but to other defense mechanisms, such as somatization, denial, and procrastination.

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Correct Answer is B

Explanation

The nurse should respect the client's privacy and confidentiality and obtain their consent before disclosing any information to their employer or anyone else who is not directly involved in their care. Contacting the legal department, the provider, or the client's family may be appropriate in some situations, but they are not necessary or ethical actions without the client's permission.

A. Ask staff members to describe their most traumatic memories of the event. B. Reassure staff members that the debriefing is confidential. C. Provide stress-management exercises to the staff members. D. Have staff members discuss their involvement in the event.

Correct Answer is B

Explanation

The rationale is that confidentiality is essential to create a safe and trusting environment for staff members to share their feelings and experiences without fear of judgment or reprisal.

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A charge nurse is educating a newly licensed nurse about various defense mechanisms. Which of the following examples should the charge nurse provide when discussing rationalization?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia. The client's employer calls to discuss the client's condition. Which of the following is the appropriate nursing action?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

A home health nurse visits a client who lost their partner 2 years ago. Which of the following behaviors by the client indicates a maladaptive grief response?

A charge nurse is making room assignments for new client admissions. Which of the following clients should the nurse place closest to the nurse's station?

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