A nurse is caring for a client who smokes and has lung cancer. The client reports, “I'm coughing because I have that cold that everyone has been getting.”
The nurse should identify that the client is using which of the following defense mechanisms?
Denial
Reaction formation
Sublimation
Suppression
The Correct Answer is A
Denial is a defense mechanism where an individual refuses to accept or acknowledge the existence of a problem or a reality that causes anxiety or distress. In this scenario, the client is denying that their coughing is related to their lung cancer, and instead attributing it to a common cold that everyone is getting. This denial may be a way for the client to avoid facing the reality of their illness and the potential consequences of smoking.
Option b, reaction formation, is a defense mechanism where an individual expresses feelings or behaviors that are the opposite of their true feelings to reduce anxiety.
Option c, sublimation, is a defense mechanism where an individual channels their unacceptable impulses into more acceptable or socially appropriate behaviors.
Option d, suppression, is a defense mechanism where an individual consciously pushes down or avoids their thoughts or feelings. None of these defense mechanisms are being exhibited in the scenario described.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
According to Erikson's Stages of Psychosocial Development, the first stage is Trust vs. Mistrust, which occurs during the first 18 months of life. During this stage, infants learn to trust their caregivers and develop a sense of security and comfort in their environment. This is accomplished through consistent and responsive caregiving, including meeting the infant's physical and emotional needs.
Therefore, it is crucial for the nurse to understand the importance of building trust and significant early attachments during the first 18 months of life to promote healthy psychosocial development in pediatric clients.
Correct Answer is A
Explanation
This response acknowledges the client's interest in complementary therapies and opens up a conversation about the different types available. It also allows the nurse to provide education and information about the potential benefits and risks of complementary therapies and how they may interact with the planned treatment.
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