A nurse is assisting in the care of a client whose partner has end-stage lung cancer. The client states, "The doctors say he only has a few months to live, but I know that with treatment he will get better." The nurse should identify that the client is exhibiting which of the following defense mechanisms?
Splitting
Denial
Displacement
Repression
The Correct Answer is B
A. Splitting : Splitting is a defense mechanism where a person sees others as all good or all bad, which is not evident in this scenario.
B. Denial: Denial is refusing to accept reality as a way to cope with distress. The client rejects the prognosis and insists on recovery despite medical evidence.
C. Displacement : Displacement is shifting emotions onto a less threatening target (e.g., being angry at a nurse instead of at the bad news).
D. Repression : Repression is unconsciously blocking out distressing thoughts rather than actively rejecting the reality of a loved one’s condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Avoid including the client's religious affiliation when discussing treatment options. Religious beliefs can impact medical decisions, so omitting this information could overlook important care considerations.
B. Include each piece of collected demographic data during change-of-shift report. Not all demographic data are relevant to patient care, and oversharing may lead to unnecessary biases.
C. Record the client’s spirituality as normal in the plan of care. Spirituality is personal and subjective, so labeling it as “normal” is inappropriate and not bias-free.
D. Provide relevant demographics during a treatment team meeting. This ensures demographic information is included only when it impacts care, avoiding bias while maintaining patient-centered treatment.
Correct Answer is D
Explanation
A. "Reinforce the importance of treatment to a client who speaks a language different from the nurse." Effective communication requires using an interpreter rather than reinforcing information in a language the client may not understand.
B. "Minimize contact with a client who is angry." Avoiding an angry client can damage trust. The nurse should use therapeutic communication techniques to address their concerns.
C. "Use clinical terminology to help a client better understand their diagnosis." Clinical terminology can be confusing. The nurse should use simple, clear language to explain medical concepts.
D. "Fulfill a promise by allowing a client to visit with family members." Keeping promises builds trust and demonstrates reliability, a key component of the nurse-client relationship.
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