A nurse is assisting in the care of a client whose partner has end-stage lung cancer. The client states, "The doctors say he only has a few months to live, but I know that with treatment he will get better." The nurse should identify that the client is exhibiting which of the following defense mechanisms?

Splitting

Denial

Displacement

Repression

Answer and Explanation

The Correct Answer is B

A. Splitting : Splitting is a defense mechanism where a person sees others as all good or all bad, which is not evident in this scenario.

B. Denial: Denial is refusing to accept reality as a way to cope with distress. The client rejects the prognosis and insists on recovery despite medical evidence.

C. Displacement : Displacement is shifting emotions onto a less threatening target (e.g., being angry at a nurse instead of at the bad news).

D. Repression : Repression is unconsciously blocking out distressing thoughts rather than actively rejecting the reality of a loved one’s condition.

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Correct Answer is C

Explanation

A. Social worker : Social workers help with community resources, housing, and legal issues, but do not directly train work-related skills.

B. Psychiatrist: A psychiatrist focuses on diagnosing and treating mental illness, not work-related skills training.

C. Occupational therapist: Occupational therapists help clients develop skills needed for daily life and work, making them the best choice for work-related skill training.

D. Psychologist: Psychologists focus on therapy and mental health assessments, not practical skill development.

A. "You don't have to be afraid to go. Our therapists are very understanding." B. “I am not saying that you need therapy, but I am sure it will help you." C. “I understand that you feel like you don't need it; however, the provider thinks it will help." D. "You don't feel like group therapy is for you. Tell me more about what you know about group therapy."

Correct Answer is D

Explanation

A. "You don't have to be afraid to go. Our therapists are very understanding." This statement assumes the client is afraid and dismisses their perspective.

B. “I am not saying that you need therapy, but I am sure it will help you.” This minimizes the client’s concerns and implies that the nurse knows best.

C. “I understand that you feel like you don’t need it; however, the provider thinks it will help.”This statement dismisses the client’s feelings and shifts the focus to the provider’s opinion rather than the client’s needs.

D. "You don't feel like group therapy is for you. Tell me more about what you know about group therapy." This is an open-ended, client-centered response that encourages discussion and helps the nurse understand the client’s perspective.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a mental health unit is caring for a client whose plan of care includes learning work-related skills. Which of the following members of the interprofessional team is appropriate for this client?

Correct Answer is C

Explanation

A nurse is assisting in the care of a client who is refusing to attend group therapy. The client states, "I don't know why you think I need therapy. I am fine without it." Which of the following responses by the nurse indicates a therapeutic response?

Correct Answer is D

Explanation

A nurse wants to improve their therapeutic communication by implementing bias-free language. Which of the following actions should the nurse take to provide bias-free language?

Which of the following describes a team of mental health LPNs and RNs who work together to provide client care?

A nurse is assisting in the care of a client who states, "I am overwhelmed by stress, and nobody is helping me." Which of the following represents a therapeutic response by the nurse?

Which of the following is an example of an adverse childhood experience (ACE)?

During what phase of the nurse-client relationship does the mutual level of trust and comfort occur? The patient is more accepting of the nurse's intervention and sees the nurse as a source of aid.

A nurse is discussing torts with a newly licensed nurse. Which of the following information should the nurse include?

A nurse is caring for a client who has schizophrenia and diabetes mellitus. The nurse is reviewing a list of the dient's prescribed medications and has questions about interactions. To which of the following members of the interprofessional team should the nurse direct their questions?

A nurse is caring for an older adult client who has dementia. The client's family member asks why the provider will not prescribe a medication to calm the client down. Which of the following statements should the nurse make?