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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Fatigue and depression: These symptoms are associated with withdrawal from stimulants, not alcohol.
B. Muscle aches and chills: These are not common symptoms of alcohol withdrawal.
C. Anxiety and diaphoresis: Alcohol withdrawal is characterized by increased autonomic activity, including anxiety, sweating, tremors, and tachycardia.
D. Arrhythmia and respiratory depression: While severe withdrawal can lead to seizures and arrhythmias, respiratory depression is not typical.
Correct Answer is B
Explanation
A. Withdrawal symptoms will only manifest as physical discomfort and will not affect a person's mental state. Withdrawal can cause both physical and psychological symptoms, including anxiety, depression, and hallucinations.
B. Withdrawal symptoms will manifest differently depending on the type of addictive substance. Different substances (e.g., alcohol, opioids, stimulants) have distinct withdrawal symptoms. For example, alcohol withdrawal can cause seizures, while opioid withdrawal causes flu-like symptoms.
C. Withdrawal symptoms will only occur immediately after the cessation of the addictive substance. Symptoms may be delayed depending on the substance's half-life and duration of use.
D. Withdrawal symptoms will always include severe headache as the primary manifestation. Headaches are not universal in withdrawal and are substance-dependent.
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