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 A
Explanation
A. Teaching parents about cortisol replacement therapy is essential for managing Addison's disease.
B. Discussing hyperglycemia is not pertinent, as Addison's disease typically presents with hypoglycemia.
C. A low-sodium diet is not recommended; rather, increased sodium intake may be necessary.
D. Monitoring for fluid volume excess is not typically indicated in Addison's disease.
Correct Answer is B
Explanation
A. Cardiovascular disease is not directly linked to osteoarthritis in this context.
B. Depression is common among individuals with chronic pain and mobility issues, requiring further evaluation and support.
C. Cognitive impairment is not a typical psychosocial impact of osteoarthritis.
D. Insomnia can occur but is not as pressing as the potential for depression.
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