A nurse is caring for a client who is having an adverse medication reaction. The client states “The nurse told me not to drink when taking the medication, but she didn’t tell me having one drink could cause a problem.” The nurse should recognize that the client is exhibiting which of the following defense mechanisms?
Denial
Displacement
Rationalization
Reaction formation
Guilty
The Correct Answer is C
The client is exhibiting the defence mechanism of rationalization, which involves justifying or explaining one’s behavior or feelings in a seemingly logical manner to avoid the true explanation. In this case, the client is rationalizing their decision to drink while taking medication by blaming the nurse for not providing enough information, rather than taking responsibility for their own actions.
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Correct Answer is C
Explanation
Option c demonstrates empathy and understanding toward the client's feelings, which is an essential component of a therapeutic relationship. It acknowledges the client's emotions, validates their experience, and provides support to the client. In contrast, options a and d suggest a solution or an activity to the client, which may not be what the client needs now.
Option b is directive and may make the client feel judged or inadequate.
Therefore, option c is the best response that demonstrates the existence of a therapeutic relationship between the client and the nurse.
Correct Answer is D
Explanation
Explanation: Manipulation involves using indirect, underhanded, or deceptive tactics to control or influence others. In this statement, the speaker is using a veiled threat to control the behavior of another person.
This is an example of manipulative behavior, and the nurse should recognize it as such.
Option A is an example of a statement seeking clarification, not manipulation. The sibling is asking a question about the behavior of the other sibling.
Option Ais an example of a statement aimed at understanding the other person's behavior, not manipulation.
Option Cis an example of taking responsibility for one's actions and setting boundaries, not manipulation
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