A nurse is assisting with evaluating teaching with a client who reports insomnia. Which of the following client statements indicates an understanding of the teaching?

Choice A reason : Rationalization is a defense mechanism where an individual justifies behaviors or feelings with plausible but inaccurate explanations to avoid confronting the true underlying motives or facts. In this scenario, the client is rationalizing their failure to take medication by blaming their partner's forgetfulness, rather than accepting personal responsibility for their health management.

Choice B reason : Projection involves attributing one's own unacceptable thoughts, feelings, or motives to another person. If the client had accused their partner of being irresponsible with medication as a reflection of their own behavior, it would be an example of projection. However, in this case, the client is not projecting their own forgetfulness onto their partner but rather shifting the blame.

Choice C reason : Repression is an unconscious mechanism employed by the ego to keep disturbing or threatening thoughts from becoming conscious. It involves pushing uncomfortable thoughts or memories into the unconscious mind. The client's statement does not suggest they are unconsciously forgetting to take their medication; instead, they are consciously aware of their action and providing a justification for it.

Choice D reason : Regression is a return to earlier stages of development and abandoned forms of gratification belonging to them, prompted by dangers or conflicts arising at one of the later stages. A client demonstrating regression might exhibit childlike behaviors when faced with stress. The client's statement does not indicate a regression to more infantile behaviors or coping mechanisms.

Choice A reason : Cultural bias can negatively impact data collection by causing healthcare providers to make assumptions based on stereotypes rather than individual assessments. This can lead to incomplete or inaccurate data, as certain symptoms or health issues may be overlooked or misattributed to cultural factors.

Choice B reason : Cultural bias can significantly impair the therapeutic relationship between healthcare providers and clients. When providers have preconceived notions about a patient's culture, they may communicate less effectively, make incorrect assumptions, or fail to build trust. This can result in a lack of adherence to treatment plans and decreased patient satisfaction.

Choice C reason : While spending more time with each client could be seen as beneficial, cultural bias does not inherently lead to this outcome. In fact, bias may cause providers to spend less time with clients from certain backgrounds due to misconceptions or communication barriers.

Choice D reason : Cultural bias is a known contributor to healthcare disparities, not a solution to them. Biases can lead to unequal treatment, access, and outcomes across different cultural groups.