A client is admitted to a psychiatric unit for treatment of a psychotic disorder. The client is at the locked exit door and is shouting. "Let me out! There's nothing wrong with me! I don't belong here!" The nurse identifies this behavior as which defense mechanism?
Denial
Regression
Projection
Rationalization
The Correct Answer is A
A. This is the defense mechanism where a person refuses to acknowledge a painful reality. In this case, the client is denying their illness and the need for hospitalization.
B. This involves reverting to childlike behaviors as a way to cope with stress. It doesn't fit the scenario.
C. This is attributing one's own unacceptable thoughts or feelings onto others. There's no evidence of this in the given situation.
D. This involves creating excuses to justify unacceptable behavior. The client is not justifying their behavior but denying it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A physical disease, especially a chronic one, can significantly impact a person's physical and mental well-being, leading to a decline in functional capacity.
B. While crises can be challenging, they are often temporary and do not necessarily lead to a long-term decline in functional capacity.
C. While a support system is crucial for overall well-being, its absence does not always lead to a significant decline in functional capacity. Many people can cope with challenges without a formal support system.
D. While essential for overall health, nutritional deficits typically lead to a gradual decline in functional capacity unless they are severe and prolonged.
Correct Answer is B
Explanation
A. Making a suicidal individual feel foolish can increase their isolation and shame, potentially exacerbating suicidal thoughts. It's essential to approach the situation with empathy and understanding.
B. Establishing therapeutic rapport encourages open communication. By creating a safe and trusting environment, the caregiver can facilitate the client to express their thoughts and feelings about suicidal ideation. This information is crucial for assessing the client's risk and developing an appropriate care plan.
C. While feeling in control can be beneficial for some individuals, it's not the primary goal of establishing therapeutic rapport with suicidal clients. The focus should be on creating a safe space for open communication and understanding the client's perspective.
D. Enhancing self-worth is a long-term goal of therapy, but it's not the immediate focus when establishing rapport with a suicidal client. The priority is to address the immediate crisis and create a safe environment for open communication.
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