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.
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Related Questions
Correct Answer is D
Explanation
A. White blood cell (WBC) count is not specific for evaluating the effectiveness of aspirin.
B. Rheumatoid factor (RF) tests for the presence of antibodies but does not measure pain or inflammation.
C. Antinuclear antibody (ANA) is used for diagnosing lupus, not RA treatment effectiveness.
D. Erythrocyte sedimentation rate (ESR) is a marker for inflammation and can help assess the response to treatment in rheumatoid arthritis.
Correct Answer is C
Explanation
A. Lisinopril is used for hypertension, not myasthenia gravis.
B. Omeprazole is used to treat acid reflux, not myasthenia gravis.
C. Pyridostigmine is an acetylcholinesterase inhibitor used to improve muscle strength in myasthenia gravis.
D. Metformin is for managing diabetes and is not used in myasthenia gravis.
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