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
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.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
Autonomy is the ethical principle that upholds an individual's right to self-determination and decision- making regarding their own life and treatment. In this case, the unit manager's policy of allowing clients to make their own choice about whether or not to attend group therapy preserves the principle of autonomy.
By not mandating group therapy, the unit manager respects the clients' right to make decisions about their own treatment and encourages them to participate in a way that feels comfortable and aligned with their own goals and values. This promotes a sense of empowerment and self-efficacy in clients, which is important for their overall recovery and well-being.
While beneficence, non-maleficence, and justice are also important ethical principles in healthcare, they are not directly applicable to this particular situation.
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