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 D
Explanation
This response by the nurse would be most appropriate for the assessment stage of crisis intervention because it focuses on understanding the client’s past experiences and coping mechanisms. By asking the client about what has worked for them in the past, the nurse can help the client identify and use effective strategies to manage their anxiety during the procedure.
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.
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