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 B
Explanation
You should try to see your partner's point of view before your own**. This statement by the newly licensed nurse requires intervention by the experienced nurse because it is not therapeutic and does not demonstrate empathy or active listening. Instead of offering advice or telling the client what to do, the nurse should focus on understanding the client's concerns and feelings and helping them explore their options.
Correct Answer is ["A","B","D","E"]
Explanation
These are all indicators of mental health. Perception of reality refers to the ability to accurately perceive and interpret the world around us. Love and belonging refer to the need for social connections and relationships. Positive self-thought refers to having a positive self-image and self-esteem. Environmental mastery refers to the ability to effectively navigate and control one’s environment. Dependency is not an indicator of mental health.
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