A nurse is caring for a client who has a new diagnosis of cancer.
The client states, "I can't think about my health until after my son is married next week.”. The nurse should identify the client's statement as an indication of which of the following maladaptive defense mechanisms?

Splitting.

Suppression.

Reaction formation.

Projection.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Splitting is a defense mechanism where a person sees things in black-and-white, without the capacity to recognize nuances or integrate good and bad qualities together.

Choice B rationale

Suppression is a conscious decision to delay dealing with stressors or emotions until a later time, as the client does by focusing on their son’s wedding before addressing their health.

Choice C rationale

Reaction formation involves behaving in a way that's opposite to one's true feelings, which does not align with the client's expressed actions.

Choice D rationale

Projection is attributing one's own thoughts, feelings, or impulses to another person, not evident in the client's behavior.

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Correct Answer is B

Explanation

Choice A rationale

Making a unit calendar helps with orientation but doesn't specifically engage reminiscence therapy, which focuses on recalling past experiences.

Choice B rationale

Discussing childhood memories fosters reminiscence, aiding in cognitive stimulation and emotional connection among older adults.

Choice C rationale

Thought-stopping techniques are more suited for managing negative thoughts in disorders like anxiety or depression, not for reminiscence therapy.

Choice D rationale

Playing board games enhances cognition but doesn't specifically target reminiscence, which involves sharing and discussing past experiences.

A. Verbally de-escalate the client. B. Take the client to the seclusion room. C. Place the client in restraints. D. Obtain a prescription for haloperidol.

Correct Answer is A

Explanation

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A nurse is caring for a client who has a new diagnosis of cancer.The client states, "I can't think about my health until after my son is married next week.”. The nurse should identify the client's statement as an indication of which of the following maladaptive defense mechanisms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with reminiscence therapy for a group of older adult clients.Which of the following strategies should the nurse implement?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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A nurse is caring for a client who has a new diagnosis of cancer.
The client states, "I can't think about my health until after my son is married next week.”. The nurse should identify the client's statement as an indication of which of the following maladaptive defense mechanisms?