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

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Involuntary mental health admission may be necessary when a person is unable to care for themselves or poses a danger to themselves or others due to a mental illness. In this case, if the client is unable to provide for their own basic needs, such as food, shelter, and clothing, due to a mental illness, they may qualify for involuntary admission for treatment.

A. "Automatic thoughts are typically positive and based on fact' B. “Automatic thoughts are often inﬂuenced by our childhood C. “Automatic thoughts occur rapidly in a situation and without rational analysis.'

Correct Answer is C

Explanation

In cognitive behavior therapy (CBT), automatic thoughts refer to the rapid, subconscious thoughts that occur in response to a particular situation or event. These thoughts are automatic, meaning that they occur quickly and without conscious eﬀort, and are often negative or distorted in nature. They are not necessarily based on fact or reality, and may be inﬂuenced by past experiences or beliefs. The goal of CBT is to identify and challenge these automatic thoughts, and replace them with more realistic and positive ones. Therefore, option c is the best explanation of automatic thoughts in the context of CBT. Options a and d are incorrect because automatic thoughts are not necessarily positive or indicative of psychiatric disorders. Option b is partially correct but does not fully capture the nature of automatic thoughts.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What situation would qualify for an involuntary mental health admission?

Correct Answer is B

Explanation

A client receiving cognitive behavior therapy (CBT) is introduced to the concepts guiding the therapy. Which statement best explains automatic thoughts?

Correct Answer is C

Explanation

A nurse is working with a client who used a condescending tone of voice in the conversation. Which response by the nurse is most therapeutic?

When the local newspaper calls to inquire why the mayor has been admitted to the hospital, the nurse replies,” He is here because he's an alcoholic.” What possible legal action may the nurse be charged?

During an interdisciplinary treatment team meeting, a short-term outcome is established for a client with depressive symptoms. Which SMART goal is most appropriate?

Which of the following should a nurse utilize to assist in preventing liability from occurring? (Select all that apply.)

client recently lost his job. When walking home, the client takes a rock and throws it into a car windshield. The nurse understands me client is using which defense mechanism.

A nurse is preparing to administer lithium syrup 1800 mg PO bd Available is lithium syrup 600 mg/5 mL How many mL would the nurse administer per dose? (Write the number only, do not include the label Record the answer as a whole number Use a leading zero if it applies Do not use a trailing zero)

Some cultures are likely to engage in self-treatment using healing processes and may diﬀer from Western medicine. The nurse is caring for a client who uses these healing practices. What is the best action by the nurse?

The client states his assigned nurse reminds him of his very stern aunt. This statement is an example of what type of issue that can occur m the nurse-client relationship.