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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Place the client in a private room: While privacy can be helpful, it is not the priority intervention in alcohol withdrawal care.
B. Pad the side rails of the bed with towels: This is a safety measure to prevent injury during seizures but should follow the assessment of disorientation.
C. Accompany the client when ambulating: Fall prevention is important, but assessing the client’s level of disorientation takes precedence.
D. Determine the client's level of disorientation: The first step in care is assessing the client's mental status and level of disorientation to identify immediate needs and risks.
Correct Answer is A
Explanation
A. Methadone: Methadone is a long-acting opioid agonist used to manage opioid withdrawal symptoms and reduce cravings.
B. Disulfiram: Disulfiram is used for alcohol use disorder, not opioid withdrawal.
C. Risperidone: Risperidone is an antipsychotic used for mental health disorders such as schizophrenia and bipolar disorder, not for opioid withdrawal.
D. Lithium carbonate: Lithium is used to treat bipolar disorder, particularly mania, and is unrelated to opioid withdrawal.
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