A nurse is caring for an adolescent who states, "I joined the track and field team, so I won't argue with my brothers anymore." The nurse should identify that the client is using which of the following defense mechanisms?

Denial

Sublimation

Regression

Repression

Answer and Explanation

The Correct Answer is B

A. Denial is incorrect. Denial involves refusing to acknowledge reality or a distressing situation, which is not evident in this scenario. The adolescent is aware of the conflict and has chosen a constructive way to address it.

B. Sublimation is correct. Sublimation is the process of channeling unacceptable impulses (such as frustration or aggression) into socially acceptable activities (such as sports or creative pursuits). By joining the track and field team instead of arguing with his brothers, the adolescent is redirecting energy into a positive outlet.

C. Regression is incorrect. Regression occurs when an individual reverts to an earlier stage of development in response to stress. Examples include an older child suddenly sucking their thumb or having temper tantrums. The adolescent in this scenario is demonstrating maturity, not regression.

D. Repression is incorrect. Repression involves unconsciously blocking distressing thoughts or emotions from awareness. The adolescent is not avoiding or forgetting about the conflict but is instead managing it through physical activity.

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Correct Answer is C

Explanation

A. Assign clients to the remaining staff is not the first action. The nurse should address the suspected impairment of the staff member before assigning clients to others.

B. Call the supervisor to ask for another nurse is not the first action. While notifying the supervisor is important, the nurse should first ensure that the impaired nurse is removed from direct client care to prevent any potential harm to clients.

C. Remove the nurse from the client care area is correct. The first priority is to ensure that the nurse who may be impaired is not caring for clients to ensure client safety.

D. Document objective findings about the situation is important but not the first step. The immediate priority is ensuring the safety of clients by removing the nurse from the care area. Documentation can follow after ensuring client safety.

A. “I can make several office visits, so my child does not get so many immunizations at once.” B. "I understand that immunizations will be withheld if my child has lactose intolerance." C. "My child will need to start the human papillomavirus series when he enters kindergarten." D. "It is recommended that my child receive his first flu immunization at the age of 6."

Correct Answer is D

Explanation

A. “I can make several office visits, so my child does not get so many immunizations at once.”: This is incorrect. It is recommended that children receive multiple immunizations during a single office visit to help ensure they are fully vaccinated on time. Spacing out immunizations is not typically recommended unless there is a specific medical concern.

B. "I understand that immunizations will be withheld if my child has lactose intolerance.": This is incorrect. Lactose intolerance does not contraindicate immunizations. Some vaccines may contain small amounts of lactose, but this does not prevent a child with lactose intolerance from receiving them.

C. "My child will need to start the human papillomavirus series when he enters kindergarten.": This is incorrect. The human papillomavirus (HPV) vaccine is recommended to be started at ages 11 or 12, not when the child enters kindergarten.

D. "It is recommended that my child receive his first flu immunization at the age of 6.": This is correct. The first flu vaccine is recommended for children aged 6 months and older, and the initial flu vaccine may require two doses for children under 9 years of age, spaced at least 4 weeks apart.

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A nurse is caring for an adolescent who states, "I joined the track and field team, so I won't argue with my brothers anymore." The nurse should identify that the client is using which of the following defense mechanisms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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