A nurse manager is talking to a nurse who she suspects has alcohol use disorder. The nurse tells the nurse manager, "I don't have a problem. I'm just tired." The nurse manager should identify that the nurse is using which of the following defense mechanisms?

Repression

Projection

Rationalization

Denial

Answer and Explanation

The Correct Answer is D

A. Repression: Repression involves unconsciously blocking unacceptable thoughts or feelings, not denying a problem exists.

B. Projection: Projection is attributing one’s own unacceptable feelings or behaviors to someone else.

C. Rationalization: Rationalization involves justifying a behavior with logical, but false, reasons.

D. Denial: Denial involves refusing to acknowledge the reality of a situation, such as the presence of an alcohol use disorder.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

Correct answers: The client is at highest risk for developing bleeding as evidenced by the client’s platelet’s count.

I: Bleeding- The client is at the highest risk for bleeding due to their critically low platelet count (thrombocytopenia) of 35,000/mm³. Platelets are essential for blood clotting, and levels this low significantly increase the risk of spontaneous bleeding.

II: Platelet count- The platelet count is a direct indicator of the client’s bleeding risk. Alcohol use disorder often leads to thrombocytopenia due to bone marrow suppression, splenic sequestration, or liver dysfunction.

A. "I have no intention to stop drinking. I like the way it makes me feel." B. "I have tried so many times to stop drinking. It is so hard." C. I don't really have a problem with alcohol. I've just been having a streak of bad luck lately." D. "I really need some help. My drinking is tearing my family apart."

Correct Answer is C

Explanation

A. "I have no intention to stop drinking. I like the way it makes me feel.": This is an example of denial but does not strongly indicate a defense mechanism.

B. "I have tried so many times to stop drinking. It is so hard.": This demonstrates acknowledgment of the problem and a desire for change, not a defense mechanism.

C. "I don't really have a problem with alcohol. I've just been having a streak of bad luck lately.": This is an example of rationalization, a defense mechanism where the individual justifies their behavior with excuses.

D. "I really need some help. My drinking is tearing my family apart.": This statement reflects insight and readiness for change, not a defense mechanism.

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A nurse manager is talking to a nurse who she suspects has alcohol use disorder. The nurse tells the nurse manager, "I don't have a problem. I'm just tired." The nurse manager should identify that the nurse is using which of the following defense mechanisms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a mental health facility is assisting with admitting a client. Exhibits Complete the following sentence by using the list of options. The client is at highest risk for developing dropdown as evidenced by the client’s dropdown .

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

The nurse is assessing the drinking history of a client with a history of alcohol abuse. The client is being admitted after being found unresponsive in a public place. Which statement would indicate the use of defense mechanisms?

Correct Answer is C

Explanation

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