A cruel and abusive person often uses rationalization to explain their behavior. Which comment demonstrates use of this defense mechanism?

"I'm really a coward who is afraid of being hurt."

"That person should never have provoked me."

"I don't know why I do mean things."

"I have always had poor impulse control."

Answer and Explanation

The Correct Answer is B

A. This is an example of insight into underlying fear, not rationalization.

B. Rationalization involves providing a justifiable-sounding reason for unacceptable behavior (blaming the victim for provocation).

C. This reflects lack of awareness, not rationalization.

D. This shows acknowledgment of poor control, not an attempt to justify behavior.

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Correct Answer is A

Explanation

A. Clozapine can cause agranulocytosis, a life-threatening drop in white blood cells, leaving the client highly vulnerable to infection. Flu-like symptoms (fever, sore throat, malaise) may be early warning signs and require immediate provider notification and WBC count monitoring.

B. Olanzapine commonly causes orthostatic hypotension. Dizziness when standing is expected early in treatment and can often be managed with slow position changes, not an emergency.

C. Thioridazine, like many antipsychotics, can cause sedation. Daytime drowsiness is a common side effect and not urgent.

D. Chlorpromazine may cause GI upset such as nausea and vomiting. While bothersome, it is not immediately life-threatening unless severe or persistent.

A. Drowsiness, constricted pupils, slurred speech B. Heightened sexuality, insomnia, euphoria C. Muscle aching, dilated pupils, tachycardia D. Anxiety, restlessness, paranoid delusions

Correct Answer is A

Explanation

A. Heroin is an opioid, which causes central nervous system depression, leading to drowsiness, miosis (pinpoint pupils), and slurred speech.

B. These are more typical of stimulant use such as cocaine or methamphetamine, not heroin.

C. These are withdrawal symptoms of opioids, not effects immediately following injection.

D. These are associated with stimulant intoxication or withdrawal, not opioid intoxication.

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A cruel and abusive person often uses rationalization to explain their behavior. Which comment demonstrates use of this defense mechanism?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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