When the patient who overeats insists that weight gain is related to retained fluids, the nurse recognizes the patient is using which defense mechanism?
Compensation
Rationalization
Regression
Projection
The Correct Answer is B
A. Compensation involves offsetting perceived deficiencies by excelling in other areas. The patient claiming weight gain is due to fluid retention is not trying to make up for a perceived weakness or deficiency; instead, they are explaining their behavior in a way that deflects responsibility.
B. Rationalization is a defense mechanism where a person provides logical or reasonable-sounding explanations for behaviors or situations that are actually motivated by irrational or emotional factors. In this case, the patient who overeats is rationalizing their weight gain by attributing it to fluid retention rather than addressing the underlying issue of overeating. This allows them to avoid facing the real cause of their weight gain.
C. Regression involves reverting to earlier stages of development or behavior when faced with stress. For instance, an adult might act childishly when under pressure. The patient in this scenario is not behaving in a more immature or childlike manner but is rather giving an excuse for their behavior.
D. Projection involves attributing one's own undesirable thoughts or feelings to others. For example, someone who is untrustworthy might accuse others of being untrustworthy. The patient in this scenario is not attributing their own issues to others but is offering an excuse for their own behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. In the cycle of domestic violence, a trigger is an event or situation that escalates tension and can lead to an abusive outburst. In this case, the wife's behavior is acting as a trigger for the husband's anger.
B. This stage occurs after the abusive incident, where the perpetrator might show remorse or affection to the victim. It's a period of calm before the cycle begins again.
C. This is not a specific term in the cycle of domestic violence. It could be interpreted as an external intervention to stop the abuse, but it doesn't fit the context of the question.
D. This is the stage where the actual abuse occurs. It follows the tension-building phase and precedes the honeymoon phase. This option does not accurately reflect the situation described in the prompt.
Correct Answer is B
Explanation
The physician is responsible for providing the patient with comprehensive information about the treatment, including its purpose, potential risks, benefits, alternatives, and any possible side effects. This information is essential for the patient to make an informed decision about their care.
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