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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "A mental health unit, which includes milieu therapy, is focused on stabilizing clients who are in an acute phase of mental illness." While stabilization is part of psychiatric care, milieu therapy focuses on the environment and interactions rather than just the acute phase of illness.
B. "A mental health unit, which includes milieu therapy, is less intensive, focusing only on one psychiatric illness or substance abuse disorder." Milieu therapy is not condition-specific; it is a comprehensive approach that applies to various mental health conditions.
C. "A mental health unit, which includes milieu therapy, ensures every aspect of care is intentionally focused on creating a safe and therapeutic environment." Milieu therapy is an approach where the entire environment, including staff interactions, group activities, and structure, contributes to the therapeutic experience.
D. "A mental health unit, which includes milieu therapy, is focused on long-term care of clients who have specific mental health disorders." Milieu therapy can be used in both short-term and long-term care settings, not just for chronic conditions.
Correct Answer is D
Explanation
A. An interprofessional team: An interprofessional team consists of multiple healthcare professionals from different fields (e.g., nurses, psychiatrists, therapists, social workers), not just nurses.
B. A professional organization: A professional organization is a governing body (e.g., the American Nurses Association) that provides education and advocacy for nurses but does not describe a nursing team.
C. A shared governance: Shared governance is a leadership model that allows nurses to have a voice in decision-making, but it does not define a team structure.
D. An intraprofessional team: An intraprofessional team consists of nurses (LPNs and RNs) working together, which accurately describes the mental health nursing team in this scenario.
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