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. This is the most significant risk factor for suicide among adolescents. Conditions like depression, anxiety, bipolar disorder, and substance abuse can contribute to suicidal thoughts and behaviors.
B. While family issues can contribute to stress and emotional turmoil, mental health problems are more directly linked to suicide risk.
C. Social difficulties, such as bullying or isolation, can increase the risk of suicide, but they often coexist with underlying mental health conditions.
D. While chronic physical illnesses can impact mental health and overall well-being, acute physical problems are less likely to be direct precursors to suicide.
Correct Answer is C
Explanation
A. While this is positive reinforcement, it doesn't directly address the client's expression of gratitude. It's important to acknowledge the client's feelings first.
B. This response avoids the client's expression of gratitude and shifts the focus to the nurse.
C. This response acknowledges the client's expression of gratitude and opens up a dialogue about their feelings about discharge. It allows the nurse to provide support and address any concerns the client might have.
D. This response assumes the client's feelings and doesn't allow for the expression of other emotions. The client might not be excited about discharge for various reasons.
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