An occupational health nurse is discussing health promotion with a client who has a history of obesity. Which of the following comments indicates the client is using rationalization as a coping mechanism?
"I am obese because it's in my genes."
"I have difficulty resisting the items in vending machines."
"I know you don't like me because I am obese."
"I have lots of health problems from being obese."
The Correct Answer is A
The correct answer is Choice A because, "I am obese because it's in my genes." The client is using rationalization as a coping mechanism by justifying their obesity as being predetermined by their genes, rather than acknowledging their personal responsibility in managing their weight. Rationalization is a defense mechanism in which a person gives a false or socially acceptable explanation for an unacceptable behavior or situation.
Choice B is wrong because, "I have difficulty resisting the items in vending machines," is not the correct answer because it is an excuse rather than a rationalization.
Choice C is wrong because, "I know you don't like me because I am obese," is not the correct answer because it is an example of projection, in which the client attributes their own feelings of dislike to others.
Choice D is wrong because, "I have lots of health problems from being obese," is not the correct answer because it is a justification, not a rationalization
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A is wrong because, "An adolescent who has scoliosis," Severe scoliosis may require treatment, such as a brace or surgery, but in general, scoliosis is not an acute health emergency. Early detection can help manage the condition effectively, but it is not a priority over more urgent health concerns.
Choice B is wrong because, "An adolescent who has psoriasis," is not the correct answer as it is not an urgent health issue that requires immediate attention.
Choice C is correctbecause, "A child who has nits," Nits are the eggs of lice, which are tiny parasitic insects that infest the scalp, causing itching and discomfort. While head lice infestation can be a nuisance, it is generally not dangerous. However, it is highly contagious, especially in a school setting, and can spread rapidly among children.
Choice D is wrong because, "A child who has a BMI of 18," is also not the correct answer as while it is important to address, it is not an urgent health issue that requires immediate attention.
Correct Answer is D
Explanation
The correct answer is Choice D because, "Perform a needs assessment." Before developing a mobile meal program, the nurse should assess the needs of the older adults in the community to determine the appropriate services to provide. Inquiring about the availability of volunteers (Choice A is wrong because), identifying alternative solutions (Choice B is wrong because), and determining potential funding sources (Choice C is wrong because) are important steps, but they should be taken after performing a needs assessment.
Choice A is wrong because: Inquiring about the availability of volunteers should be done after performing a needs assessment.
Choice B is wrong because: Identifying alternative solutions to address concerns should be done after performing a needs assessment.
Choice C is wrong because: Determining potential funding sources for the program should be done after performing a needs assessment.
Choice D is wrong because: Performing a needs assessment is the first step in developing a mobile meal program.
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