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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Atomoxetine, a selective norepinephrine reuptake inhibitor (SNRI), can cause insomnia if taken late in the day; morning dosing reduces this risk.
B. Unlike some antipsychotics, atomoxetine is more commonly associated with appetite suppression and weight loss, not weight gain.
C. Atomoxetine is not a stimulant; it usually reduces hyperactivity and impulsivity.
D. Atomoxetine does not suppress the immune system; infection risk is not a concern.
Correct Answer is B
Explanation
A. Offering platitudes can minimize the patient’s feelings and may shut down further disclosure.
B. Directly asking about suicidal thoughts is the most important and therapeutic response because the statement expresses hopelessness, a major risk factor for suicide. This question assesses immediate safety and guides next steps (ask about intent, plan, means; implement suicide precautions and notify the provider as indicated).
C. Exploring past interests can be therapeutic later, but it does not address the immediate safety concern suggested by the patient’s hopeless statement.
D. Saying you don’t understand is vague and avoids addressing the potential crisis; a direct, nonjudgmental assessment of suicidal ideation is required.
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