A nurse is caring for a group of clients in a pediatric clinic.
Which of the following clients is at highest risk for physical abuse?

Choice A rationale

Reaction formation is a defense mechanism where an individual behaves in a manner opposite to their true feelings or desires. It does not involve physical manifestations of anxiety.

Choice B rationale

Somatization involves the transformation of anxiety into physical symptoms, such as pain, fatigue, or gastrointestinal issues, without a medical cause. This is a way the body expresses psychological distress through physical symptoms.

Choice C rationale

Sublimation is a defense mechanism where unacceptable impulses or desires are transformed into socially acceptable activities or behaviors. It is not related to physical manifestations of anxiety.

Choice D rationale

Intellectualization involves using logic and reasoning to avoid emotional stress. It does not involve transforming anxiety into physical symptoms. .

Choice A rationale

Forming a close support network is important in recovery, but it is not the first step. Initial recognition and acceptance of the problem must come first before external support can be effectively utilized.

Choice B rationale

Acknowledging an inability to control drinking is crucial as it represents acceptance of the problem. Without this self-awareness, the individual is unlikely to seek or benefit from treatment options.

Choice C rationale

Incorporating spirituality can be beneficial for some individuals during recovery, providing a sense of purpose and community. However, it is not the initial step. Recognition of the problem must precede other interventions.

Choice D rationale

Agreeing to a prescription for an alcohol use deterrent can be part of the treatment plan. However, the individual must first recognize and accept their inability to control drinking to commit to taking medications as prescribed.