A nurse in an alcohol treatment facility is caring for a client who states, "My job is so stressful that the only way I can cope is to drink should recognize that the client is displaying which of the following defense mechanisms?
Intellectualization
Introjection
Rationalization
Repression
The Correct Answer is C
A. Intellectualization: Intellectualization involves using logic or reasoning to avoid emotional response to stress, but it is not the defense mechanism demonstrated here. The client is not using abstract thinking to avoid feelings but justifying behavior.
B. Introjection: Introjection involves internalizing the beliefs or values of others, which is not what is happening in this scenario. The client is not adopting someone else’s values but rationalizing their own actions.
C. Rationalization: Rationalization is the defense mechanism the client is using. The client is justifying their drinking as a way to cope with stress, making the behavior seem reasonable or acceptable even though it may be harmful.
D. Repression: Repression involves unconsciously blocking out uncomfortable thoughts or feelings, but the client is not denying their emotions or thoughts about stress. Instead, they are justifying their behavior, which aligns more with rationalization.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Encourage the client to take naps during the day: While daytime napping may help the client rest, it is unlikely to directly prevent nighttime wandering. It might even interfere with nighttime sleep, potentially increasing wandering behavior.
B. Install locks at the bottom of the exit doors: Installing locks at the bottom of exit doors is an effective safety intervention. It can prevent the client from wandering outside while still allowing caregivers to monitor and assist the client if needed.
C. Place the client's mattress on the floor: Placing the mattress on the floor might prevent injury if the client falls out of bed, but it does not address the core issue of nighttime wandering. Additional measures are needed to manage wandering safely.
D. Place rubber-backed throw rugs on tile floors: Rubber-backed throw rugs can help prevent slipping but do not directly address the issue of wandering. This intervention may be useful for fall prevention but not for preventing the client from wandering at night.
Correct Answer is D
Explanation
A. The client does not recognize their partner: While this is concerning, it is a common symptom of Alzheimer's disease as it progresses. However, it is not immediately life-threatening or a direct risk to the client’s safety.
B. The client places their shoes on the wrong feet: This is a typical manifestation of cognitive decline in Alzheimer's disease. While it may affect the client's independence, it is not an urgent issue that requires immediate intervention compared to other symptoms.
C. The client is unable to remember their personal history: Memory loss, especially related to personal history, is a hallmark symptom of Alzheimer's disease. Although it affects the client's cognitive function, it is not a crisis situation requiring priority intervention.
D. The client engages in wandering: Wandering is the priority concern in this scenario. It poses a significant safety risk, as the client may become lost, confused, or injured. Ensuring the client's safety by addressing wandering behavior is essential in managing Alzheimer's disease.
Complete the following sentence by using the lists of options.
The client is at risk of developing