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 C

Explanation

A. Bone and muscle aches: These are more commonly associated with opioid withdrawal, not alcohol withdrawal.

B. Decreased blood pressure and nausea: Alcohol withdrawal is typically associated with increased blood pressure, not decreased blood pressure.

C. Increased heart rate and vomiting: Tachycardia and gastrointestinal symptoms like vomiting are common signs of alcohol withdrawal.

D. Constipation and pupil constriction: These symptoms are not characteristic of alcohol withdrawal but are associated with opioid use.

A. Support the client's coping skills. B. Prevent the client from harming herself or others. C. Identify the use of defense mechanisms. D. Develop goals for treatment.

Correct Answer is B

Explanation

A. Support the client’s coping skills. While important, safety takes precedence in the acute phase.

B. Prevent the client from harming herself or others. Alcohol withdrawal can lead to agitation, hallucinations, or seizures, making safety the nurse's priority.

C. Identify the use of defense mechanisms. This is part of long-term treatment, not immediate care.

D. Develop goals for treatment. Goal-setting is essential for long-term management but is not the priority during acute withdrawal.

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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 is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse monitor for that indicate the client is experiencing alcohol withdrawal?

Correct Answer is C

Explanation

A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following interventions is the nurse's priority?

Correct Answer is B

Explanation

A nurse is collecting data from a client who is experiencing alcohol withdrawal. Which of the following is an expected finding?

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