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 B

Explanation

Choice A is wrong because, "I don't want to lose control of my ability to make decisions," does not indicate a risk for suicide but rather a fear of losing autonomy or control over one's life.

This statement can be a red flag for suicidal ideation. It may suggest that the client has a plan to end their life, believing that death will bring relief or improvement to their situation.

This statement indicates that the client is seeking and accepting support from others, which is generally a positive coping mechanism and does not indicate a risk for suicide.

While this statement indicates fear and anxiety about the progression of the disease, it does not necessarily indicate a risk for suicide. It's a common concern among individuals with terminal illnesses.

A. Create a checklist of needed supplies for each type of disaster. B. Conduct community disaster drills. C. Develop an evacuation plan for the community. D. Establish a location to perform client triage.

Correct Answer is D

Explanation

The correct answer is Choice D because, "Establish a location to perform client triage." During the response phase of a disaster plan, it is important to establish a location to perform client triage, as this allows for the efficient allocation of resources.

Choice A is wrong because, "Create a checklist of needed supplies for each type of disaster," is not the correct answer. While creating a checklist of needed supplies is important in disaster planning, it is not specific to the response phase.

Choice B is wrong because, "Conduct community disaster drills," is not the correct answer. Community disaster drills are an important part of disaster planning, but they are not specific to the response phase.

Choice C is wrong because, "Develop an evacuation plan for the community," is not the correct answer. While developing an evacuation plan is important in disaster planning, it is not specific to the response phase.

Explanation: During the response phase of a disaster plan, it is important to establish a location to perform client triage. Creating a checklist of needed supplies, conducting community disaster drills, and developing an evacuation plan are important in disaster planning but are not specific to the response phase.

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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?

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Naxlex Comprehensive Predictor Exams

A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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