The nurse is assessing the drinking history of a client with a history of alcohol abuse. The client is being admitted after being found unresponsive in a public place. Which statement would indicate the use of defense mechanisms?
"I have no intention to stop drinking. I like the way it makes me feel."
"I have tried so many times to stop drinking. It is so hard."
I don't really have a problem with alcohol. I've just been having a streak of bad luck lately."
"I really need some help. My drinking is tearing my family apart."
The Correct Answer is C
A. "I have no intention to stop drinking. I like the way it makes me feel.": This is an example of denial but does not strongly indicate a defense mechanism.
B. "I have tried so many times to stop drinking. It is so hard.": This demonstrates acknowledgment of the problem and a desire for change, not a defense mechanism.
C. "I don't really have a problem with alcohol. I've just been having a streak of bad luck lately.": This is an example of rationalization, a defense mechanism where the individual justifies their behavior with excuses.
D. "I really need some help. My drinking is tearing my family apart.": This statement reflects insight and readiness for change, not a defense mechanism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Formula: Dose to administer ÷ Dose per tablet = Number of tablets
150mg÷75mg/tablet=2 tablets
Answer: 2 tablets
Correct Answer is D
Explanation
A. "I will send you a note in a few weeks.": This response is inappropriate and could blur professional boundaries in the therapeutic nurse-client relationship.
B. "I know you will do well living out in the community.": While supportive, this response assumes the client's future success without addressing their immediate feelings or concerns.
C. "Aren't you excited about being discharged today?": This response is leading and may not reflect the client’s true feelings.
D. "How do you feel about being discharged?": This open-ended question encourages the client to express their emotions and concerns about the transition, which is appropriate in the termination phase of the therapeutic relationship.
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