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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Interrupt the client's statement to clarify thoughts or ideas. Interrupting can make the client feel unheard and disrupt the flow of conversation.
B. Show emotion when a client is disclosing sensitive information. While empathy is important, the nurse should remain professional and composed to provide objective support.
C. Keep direct eye contact to a minimum. Avoiding eye contact may appear disinterested or disengaged.
D. Avoid looking at other clients on the unit. Maintaining focus on the client demonstrates active listening, engagement, and respect.
Correct Answer is D
Explanation
A. Begins to discuss how their partner and children are important to them. While discussing relationships is valuable, it does not necessarily indicate readiness for behavior change.
B. Asks to change the topic during the interview process. Changing the topic may indicate discomfort or resistance rather than engagement.
C. Requests more information about treatment options. While curiosity about treatment is positive, it does not necessarily indicate commitment to change.
D. Discusses reasons for making a behavior change. When a client verbalizes reasons for change, it shows they are actively considering taking action, which is a key goal of motivational interviewing.
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