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 B

Explanation

A. Methadone: Methadone is used for opioid withdrawal, not alcohol.

B. Benzodiazepines: Benzodiazepines, such as lorazepam or diazepam, are first-line medications to manage alcohol withdrawal symptoms, prevent seizures, and reduce the risk of delirium tremens.

C. Naloxone: Naloxone is used to reverse opioid overdose.

D. Diphenhydramine: While it may help with mild symptoms like sleep disturbance, it is not a primary treatment for withdrawal.

A. Hallucinations B. Tremors C. Anorexia D. Insomnia

Correct Answer is A

Explanation

A. Hallucinations. Hallucinations are a sign of severe alcohol withdrawal, such as delirium tremens (DTs), which can be life-threatening and requires immediate medical attention.

B. Tremors. Tremors are a common withdrawal symptom but are not as critical as hallucinations.

C. Anorexia. Loss of appetite is a minor symptom and not life-threatening.

D. Insomnia. Although common in withdrawal, insomnia is not an urgent priority compared to hallucinations.

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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

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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