A registered nurse is admitting a client to an alcohol abuse program. The client states, here because of my boss. It was part of my job to go to parties and drink with clients. The client's statement is an example of which of the following defense mechanisms?
Select one:

Compensation

Suppression

Rationalization

Reaction-formation

Answer and Explanation

The Correct Answer is C

Rationalization is a defence mechanism in which a person attempts to justify or explain their behavior or actions in a way that makes them seem more acceptable or reasonable. In this case, the client is using rationalization by attributing their alcohol abuse to their job and the need to drink with clients at parties.

Option a. Compensation is a defense mechanism in which a person attempts to make up for a perceived weakness or deficiency by excelling in another area.

Option b. Suppression is a defense mechanism in which a person consciously chooses to avoid thinking about or dealing with unpleasant thoughts or feelings.

Option d. Reaction-formation is a defense mechanism in which a person behaves in a way that is opposite to their true feelings or desires.

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Correct Answer is A

Explanation

According to Erikson's Stages of Psychosocial Development, the first stage is Trust vs. Mistrust, which occurs during the first 18 months of life. During this stage, infants learn to trust their caregivers and develop a sense of security and comfort in their environment. This is accomplished through consistent and responsive caregiving, including meeting the infant's physical and emotional needs.

Therefore, it is crucial for the nurse to understand the importance of building trust and significant early attachments during the first 18 months of life to promote healthy psychosocial development in pediatric clients.

A. Avoid discussing past manipulative behaviors with the client. B. Allow manipulation so as to not raise the client's anxiety. C. Institute consequences for manipulative behavior D. Avoid discussing present behaviors with the client

Correct Answer is C

Explanation

Manipulative behavior is not acceptable in any situation, and it is important for the nurse to set clear boundaries and expectations with the client. Allowing manipulation can enable the client's behavior and reinforce it. Avoiding discussing past or present manipulative behaviors with the client may not eﬀectively address the issue and could potentially worsen the behavior. Bargaining with the client can also reinforce manipulative behavior.

Therefore, instituting consequences for manipulative behavior is the most appropriate intervention to include in the plan of care. This could involve setting clear limits on what is acceptable behavior and consistently enforcing consequences when those limits are exceeded. The consequences should be communicated clearly to the client, and the nurse should work with the client to identify more appropriate ways to communicate their needs and concerns.

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A registered nurse is admitting a client to an alcohol abuse program. The client states, here because of my boss. It was part of my job to go to parties and drink with clients. The client's statement is an example of which of the following defense mechanisms? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides care for clients in the pediatric clinic. The nurse understands that according to Erikson Stages of Psychosocial development, trust and significant early attachments develop during which time period?

Correct Answer is A

Explanation

A registered nurse is planning to care for a client who demonstrates manipulative behaviors. Which of the following interventions should be included in the plan of care?

Correct Answer is C

Explanation

After several therapeutic sessions with a client who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of transference? Select one:

The registered nurse is preparing for the termination phase of the nurse-client relationship. The registered nurse prepares to implement which nursing task that is most appropriate and most important for this phase? Select one:

A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?

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An involuntarily hospitalized client tells the nurse: "Get me the forms for discharge against medical advice (AMA) so I leave the hospital now." What is the registered nurse's best initial response? Select one:

A registered nurse is admitting a client to an alcohol abuse program. The client states, here because of my boss. It was part of my job to go to parties and drink with clients. The client's statement is an example of which of the following defense mechanisms?
Select one: