Marie has just learned that she has failed her mental health nursing class. She tells her friends, "I knew that instructor was going to fail me. She has never liked me and has just been looking for an excuse to fail me all along." Marie's behavior is an example of which defense mechanism?

Regression

Repression

Rationalization

Reaction formation

Answer and Explanation

The Correct Answer is C

Choice A reason: Regression involves reverting to an earlier stage of development when faced with stress, which is not what Marie is doing.

Choice B reason: Repression involves unconsciously blocking out painful thoughts or feelings, which is different from Marie's conscious rationalization of her failure.

Choice C reason: Rationalization is a defense mechanism where an individual justifies an unacceptable behavior or feeling with a logical reason, avoiding the true explanation for the behavior. Marie is rationalizing her failure by blaming the instructor rather than accepting her own role in the outcome.

Choice D reason: Reaction formation involves behaving in a way that is opposite to what one truly feels, which is not applicable in Marie's case.

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Correct Answer is C

Explanation

Choice A reason: Petechiae are small red or purple spots caused by bleeding into the skin, typically not directly associated with anemia.

Choice B reason: Glossitis, which is inflammation of the tongue, can be associated with certain types of anemia but is not specifically related to the low hemoglobin level itself.

Choice C reason: Exertional dyspnea, or difficulty breathing upon exertion, is a common symptom of severe anemia due to the reduced oxygen-carrying capacity of the blood.

Choice D reason: Palpitations, or feeling that the heart is racing or fluttering, can occur in severe anemia as the heart attempts to compensate for the lack of oxygen in the blood.

A. "I should be sure the patient has no questions before they sign the consent." B. "I can witness the patient's signature on the consent." C. "Consent is good for 30 days." D. "This protects the hospital from all lawsuits."

Correct Answer is D

Explanation

Choice A reason: Ensuring the patient has no questions before signing the consent is a standard and appropriate practice.

Choice B reason: A nurse can witness the patient's signature on the consent form, which is a normal procedure.

Choice C reason: Consent is not universally good for 30 days; it is specific to the procedure and timing, and this statement could mislead and cause legal issues.

Choice D reason: Saying that informed consent protects the hospital from all lawsuits is incorrect and could lead to a false sense of security, as informed consent is about patient autonomy, not just legal protection.

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Marie has just learned that she has failed her mental health nursing class. She tells her friends, "I knew that instructor was going to fail me. She has never liked me and has just been looking for an excuse to fail me all along." Marie's behavior is an example of which defense mechanism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with severe anemia and a hemoglobin level of 4 g/dL. Which clinical manifestation will the nurse expect the patient to exhibit?

Correct Answer is C

Explanation

The nurse is reviewing informed consent with a coworker. Which statement by the coworker would concern the nurse?

Correct Answer is D

Explanation

The nurse is reinforcing teaching for a patient who is using a continuous passive motion (CPM) machine. Which of these, if stated by the patient, indicates to the nurse correct understanding of its purpose?

Which of the following is a priority when caring for a highly anxious patient?

The mental health status examination includes (select all that apply):

During general surgery, a nurse observes tachycardia, muscle rigidity, respiratory acidosis, and hyperthermia in a patient. Which complication of surgery does the nurse suspect?

The nurse is caring for a client on the third day following abdominal surgery and assesses the absence of bowel sounds, abdominal distention, and the client passing no flatus. These findings indicate the client is experiencing which of the following postoperative complications?

People with Narcissistic Personality Disorder display which of the following behaviors? (Select all that apply.)

A nurse is assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock. Which of the following findings should the nurse expect?

Mr. L, who has a severe fear of needles, is hospitalized on your medical unit. The laboratory technician enters to draw blood for the routine CBC, and Mr. L begins to cry out, "Get away from me! I can't breathe! I'm having a heart attack!" What should be your first response to Mr. L?