An occupational health nurse is discussing health promotion with a client who has obesity.
Which of the following comments indicates the client is using rationalization as a coping mechanism?
"I have difficulty resisting the items in vending machines.".
"It's in my genes that I am obese.".
"I know you don't like me because I am obese.".
"I have lots of health problems from being obese.".
The Correct Answer is B
This statement indicates that the client is using rationalization as a coping mechanism by justifying their obesity with a seemingly logical reason 1.
Choice A, “I have difficulty resisting the items in vending machines,” does not indicate rationalization as it is a statement of fact.
Choice C, “I know you don’t like me because I am obese,” indicates the use of projection as a coping mechanism by attributing their own feelings to someone else.
Choice D, “I have lots of health problems from being obese,” does not indicate rationalization as it is a statement of fact.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The enzyme-linked immunosorbent assay (ELISA) tests a patient’s blood sample for HIV antibodies1.
Choice A is not the correct answer because the test results are not accurate 24 hours after HIV exposure.
It can take several weeks for the body to produce enough antibodies to be detected by an ELISA test1.
Choice B is not the correct answer because the test does not monitor the progression of HIV.
Choice C is not the correct answer because a positive result does not indicate initiation of immunoglobulin administration.
Correct Answer is D
Explanation
Scratching or piercing the skin is a form of self-harm and can be a sign of underlying emotional distress. This behavior should be identified as the priority for the nurse to address.
Choice A is not the correct answer because listening to loud music for several hours may not necessarily be harmful.
Choice B is not the correct answer because staying up all night playing online video games may disrupt sleep patterns but is not as concerning as self-harm.
Choice C is not the correct answer because talking about others on social media may be unkind but is not as concerning as self-harm.
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