A young adult client with a new diagnosis of rheumatoid arthritis states, "The pain in my joints is just a temporary thing. If I keep eating right and exercising, it'll go away." The nurse should identify the client is exhibiting which of the following defense mechanisms?
Displacement
Reaction formation
Rationalization
Denial
The Correct Answer is D
A. Displacement involves redirecting emotions, which does not apply here.
B. Reaction formation is expressing the opposite of one's true feelings; this does not fit the statement.
C. Rationalization involves justifying behaviors or feelings; the statement does not justify.
D. Denial is refusing to accept the reality of the situation, which aligns with the client's belief about their pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administering prescribed sedatives is not appropriate, as it can worsen respiratory function in myasthenic crisis.
B. Preparing the client for mechanical ventilation may be necessary due to respiratory muscle weakness and potential respiratory failure.
C. Administering a vasoconstrictor is not indicated for a myasthenic crisis.
D. Instructing the client to perform pursed lip breathing is not the priority; respiratory support is crucial.
Correct Answer is A
Explanation
A. Implementing a schedule that includes periods of rest is beneficial in managing fatigue common in MS.
B. Engaging in a vigorous exercise program may exacerbate symptoms; moderate exercise is usually recommended.
C. Hot tubs may worsen symptoms due to increased body temperature; cool environments are preferred.
D. Wearing an eye patch may be helpful in some cases, but it is not a blanket recommendation for all patients with diplopia.
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