A nurse is caring for a client who has borderline personality disorder (BPD). As part of the client's plan of care, the nurse reviews the day's schedule with the client each morning. As the nurse begins to review the schedule with the client, the client says, "Why don't you shut up already? I can read it myself, you know!" Which of the following responses should the nurse give the client?

A. Suppression: Suppression involves consciously pushing down or ignoring thoughts, feelings, or memories that are perceived as unacceptable or distressing. In this scenario, the client is not consciously trying to push down or ignore their behavior; instead, they are explaining their actions using a defense mechanism.

B. Reaction-formation: Reaction-formation occurs when an individual expresses feelings or behaviors that are the opposite of their true feelings or desires. In this case, the client's statement does not involve expressing the opposite of their true feelings. Instead, they are rationalizing their behavior.

C. Compensation: Compensation involves attempting to overcome feelings of inadequacy or failure in one area by excelling in another area. The client's statement does not suggest that they are compensating for anything; rather, they are explaining their behavior through a defense mechanism.

D. Rationalization: Rationalization involves providing logical or socially acceptable reasons for behavior that are not the true reasons. In this scenario, the client is rationalizing their behavior by attributing it to external factors, such as their boss's influence, rather than acknowledging their own responsibility for their actions. This defense mechanism allows the client to avoid facing the underlying issue of alcohol abuse by providing a seemingly reasonable explanation for their behavior.

A. 3 months:

By 3 months of age, infants typically experience rapid growth, but their birth weight usually does not double by this time. Infants usually gain weight at a steady rate during the first few months of life, but doubling birth weight typically occurs later in infancy.

B. 9 months:

By 9 months of age, infants continue to grow and develop, but their birth weight usually doubles before this age. While infants may have more than doubled their birth weight by 9 months, it's generally expected to occur earlier in infancy.

C. 6 months:

Correct. Birth weight typically doubles by around 6 months of age. This milestone reflects the rapid growth and development that occurs during the first half-year of life. By 6 months, infants have typically established feeding routines and experienced significant weight gain since birth.

D. 12 months:

By 12 months of age, infants have completed their first year of life, and their growth and development continue at a slightly slower pace compared to earlier months. Doubling birth weight usually occurs earlier, around 6 months, rather than by 12 months.