A nurse is caring for a client who has a new diagnosis of cancer.
The client states, "I can't think about my health until after my son is married next week.”. The nurse should identify the client's statement as an indication of which of the following maladaptive defense mechanisms?
Splitting.
Suppression.
Reaction formation.
Projection.
The Correct Answer is B
Choice A rationale
Splitting is a defense mechanism where a person sees things in black-and-white, without the capacity to recognize nuances or integrate good and bad qualities together.
Choice B rationale
Suppression is a conscious decision to delay dealing with stressors or emotions until a later time, as the client does by focusing on their son’s wedding before addressing their health.
Choice C rationale
Reaction formation involves behaving in a way that's opposite to one's true feelings, which does not align with the client's expressed actions.
Choice D rationale
Projection is attributing one's own thoughts, feelings, or impulses to another person, not evident in the client's behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Acknowledging the client's fear and providing reassurance without confirming the hallucination helps build trust and reduce anxiety.
Choice B rationale
Correcting the client by stating it is a syringe, not a snake, dismisses their fear and can increase distress.
Choice C rationale
Emphasizing the provider's requirement for the blood specimen does not address the client's fear and can worsen anxiety.
Choice D rationale
Telling the client they are mistaken dismisses their hallucination and can increase their distress and mistrust.
Correct Answer is B
Explanation
Choice A rationale
While this client may need attention, the behavior is not immediately dangerous.
Choice B rationale
This client requires immediate attention due to the risk of harm to herself and others through throwing objects and yelling, which indicates potential for escalation.
Choice C rationale
Pacing, although concerning, does not pose an immediate risk of physical harm compared to Choice B.
Choice D rationale
The client is disruptive but not immediately dangerous compared to the client in Choice B who poses a more direct risk.
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