A nurse is assessing the coping strategies of a client who has recently retired.
Which of the following statements by the client indicates that the client is using compensation as a defense mechanism?

"Since I retired, I have entered many gardening competitions."

"I'm so glad I've retired because the work was making me sick and depressed."

"I had to retire because my boss didn't like me."

"There were lay-offs at my company, so I journaled about what I accomplished during my career." .

Answer and Explanation

The Correct Answer is A

Choice A rationale:

"Since I retired, I have entered many gardening competitions." This statement indicates compensation as a defense mechanism. Compensation involves emphasizing personal strengths in one area to shift focus from failure or weakness in another. In this case, the client is finding fulfillment and recognition in gardening competitions after retiring, compensating for the loss of work-related identity.

Choice B rationale:

Expressing relief about retirement due to negative work experiences doesn’t necessarily indicate compensation. It could be a coping mechanism, but it doesn't align with the compensation defense mechanism, which involves overachieving in one area to compensate for deficiencies in another.

Choice C rationale:

Choice D rationale:

Journaling about career accomplishments after layoffs indicates sublimation, not compensation. Sublimation is a defense mechanism where unacceptable impulses or behaviors are transformed into socially acceptable actions or pursuits, like channeling frustration or disappointment into creative or productive activities such as journaling.

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Correct Answer is D

Explanation

Choice A rationale:

Maintaining eye contact with the newborn during feedings is a general caregiving practice and is not specific to managing neonatal abstinence syndrome. While eye contact and bonding are important for newborns, it does not address the symptoms of neonatal abstinence syndrome.

Choice B rationale:

Swaddling the newborn with his legs extended is not a specific action for managing neonatal abstinence syndrome. However, swaddling can provide comfort to some infants, but the positioning of the legs is not directly related to managing symptoms of withdrawal.

Choice C rationale:

Administering naloxone to the newborn is not a standard practice for managing neonatal abstinence syndrome. Naloxone is an opioid antagonist used to reverse opioid overdose in adults and is not typically used in newborns unless there are specific indications, which are rare.

A. aPTT. B. Platelet count. C. Fibrinogen level. D. INR.

Correct Answer is D

Explanation

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A nurse is assessing the coping strategies of a client who has recently retired.Which of the following statements by the client indicates that the client is using compensation as a defense mechanism?

Nursing Test Bank

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A nurse is assessing the coping strategies of a client who has recently retired.
Which of the following statements by the client indicates that the client is using compensation as a defense mechanism?