A nurse is caring for a client who has a new diagnosis of cancer.
The client states, "I can't think about my health until after my son is married next week.”. The nurse should identify the client's statement as an indication of which of the following maladaptive defense mechanisms?.

Suppression

Reaction formation.

Splitting.

Projection.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Suppression is a conscious decision to delay paying attention to an emotion or need in order to cope with the present reality. In this case, the client is choosing to delay thinking about their health until after their son’s wedding.

Choice B rationale:

Reaction formation is behaving in a way that is exactly the opposite of one’s true feelings. This is not evident in the client’s statement.

Choice C rationale:

Splitting is the inability to integrate the positive and negative qualities of oneself or others into a cohesive image. This is not evident in the client’s statement.

Choice D rationale:

Projection is attributing one’s unacceptable thoughts and feelings onto another who does not have them. This is not evident in the client’s statement.

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Correct Answer is C

Explanation

Choice A rationale:

Excessive anxiety is not typically associated with antisocial personality disorder. It is more commonly seen in anxiety disorders.

Choice B rationale:

Withdrawn behaviors are more commonly associated with disorders such as depression or social anxiety disorder, not antisocial personality disorder.

Choice C rationale:

Exploiting others is a common characteristic of antisocial personality disorder. Individuals with this disorder often manipulate or deceive others for personal gain.

Choice D rationale:

Blunted affect, or reduced emotional expression, is not typically associated with antisocial personality disorder. It is more commonly seen in disorders such as schizophrenia.

A. Restrict interactions with other clients B. Document the client's behavior every 2 hr. C. Implement 24-hr one-to-one nursing observation. D. Administer prescribed medication via the IM route.

Correct Answer is C

Explanation

Choice A rationale:

Restricting interactions with other clients may be necessary in some cases, but it’s not the first precaution to take. The nurse must first ensure the client’s safety.

Choice B rationale:

Documenting the client’s behavior every 2 hr is important, but it’s not the first precaution. The nurse must first ensure the client’s safety.

Choice C rationale:

Implementing 24-hr one-to-one nursing observation is the first precaution the nurse should take. This ensures the client’s safety following an overdose.

Choice D rationale:

Administering prescribed medication via the IM route is not a precaution. It’s a method of medication administration.

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A nurse is caring for a client who has a new diagnosis of cancer. The client states, "I can't think about my health until after my son is married next week.”. The nurse should identify the client's statement as an indication of which of the following maladaptive defense mechanisms?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is caring for a client who has a new diagnosis of cancer.
The client states, "I can't think about my health until after my son is married next week.”. The nurse should identify the client's statement as an indication of which of the following maladaptive defense mechanisms?.