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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["15"]
Explanation
The nurse would administer 15 mL of lithium syrup per dose. This is calculated by first determining the amount of lithium in each mL of syrup: 600 mg / 5 mL = 120 mg/mL. Then, the desired dose of 1800 mg is divided by the concentration of lithium in each mL of syrup: 1800 mg / (120 mg/mL) = 15 mL.
Correct Answer is C
Explanation
Offering self is a therapeutic communication technique where the healthcare professional offers their presence, support, and assistance to the patient. By stating that they will stay with the patient until their ECT treatment, the nurse is offering their presence and support to the patient during a potentially stressful and anxiety-provoking time. This technique can help the patient feel more comfortable and supported, which can help build trust and rapport between the patient and the healthcare professional.
Accepting involves acknowledging the patient's feelings and accepting them without judgment. Giving recognition involves acknowledging the patient's efforts and accomplishments. Formulating a plan involves working with the patient to develop a plan of action for addressing their health concerns. None of these techniques are being demonstrated in this scenario.
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