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."

Answer and Explanation

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

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Correct Answer is C

Explanation

The correct answer is Choice C because "You should limit your use of extension cords." Extension cords are a common source of electrical hazards and should be used only when necessary. The nurse should advise the client to use power strips with built-in circuit breakers instead of extension cords.

Choice A is wrong because, "You should pull on the cord when unplugging items," is not the correct answer as pulling on the cord can damage the cord and create a hazard. Choice B is wrong because, "You should cover electrical cords with an area rug," is not the correct answer as this can create a trip hazard. Choice D is wrong because, "You should secure extension cords with clear packing tape," is not the correct answer as this does not address the underlying issue of using extension cords unnecessarily.

A. "You should have your hearing screened every 5 years." B. "You should have your fasting blood glucose level checked every 6 years." C. "You should have your stool tested for blood every other year until the age of 74." D. "You should have a complete eye examination every 2 years until the age of 64."

Correct Answer is D

Explanation

The correct answer is Choice D because, "You should have a complete eye examination every 2 years until the age of 64." Women over 50 should have a complete eye exam every 2 years until the age of 64 to screen for age-related macular degeneration, cataracts, and glaucoma. Having hearing screened every 5 years (Choice A is wrong because) is recommended for adults over the age of 50. Having a fasting blood glucose level checked every 3 years (not every 6 years) (Choice B is wrong because) is recommended for adults aged 45 years and older. Testing stool for blood (Choice C is wrong because) is a screening test recommended for colorectal cancer starting at age 50.

Choice A is wrong because: Having hearing screened every 5 years is recommended for adults over the age of 50.

Choice B is wrong because: Having a fasting blood glucose level checked every 6 years is not correct. It is recommended every 3 years for adults aged 45 years and older.

Choice C is wrong because: Testing stool for blood is recommended for colorectal cancer starting at age 50.

Choice D is wrong because: Having a complete eye examination every 2 years until the age of 64 is recommended.

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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?

Nursing Test Bank

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