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.

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale

Referring the client for social services support is important but not the first action in addressing immediate safety.

Choice B rationale

Identifying thoughts of self-harm is crucial for immediate safety and risk management, making it the priority action.

Choice C rationale

Reinforcing coping skills is valuable but secondary to ensuring the client's safety.

Choice D rationale

Encouraging use of personal support systems is helpful but not the first priority in addressing immediate risk. .

A. Implement 24-hr one-to-one nursing observation. B. Document the client's behavior every 2 hr. C. Restrict interactions with other clients. D. Administer prescribed medication via the IM route.

Correct Answer is A

Explanation

Choice A rationale

Implementing 24-hr one-to-one nursing observation is crucial for ensuring the safety of a client who has overdosed and is at risk of self-harm.

Choice B rationale

Documenting the client's behavior every 2 hr is not sufficient to ensure their safety in an overdose situation.

Choice C rationale

Restricting interactions with other clients does not directly address the immediate risk of harm to the client.

Choice D rationale

Administering prescribed medication via the IM route does not provide the necessary supervision for a client at high risk of self-harm.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing a situational crisis.Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse in a mental health facility is caring for an adolescent who is newly admitted for an overdose of prescription pain medication.The client has prescriptions for an anxiolytic and an SSRI antidepressant.Which of the following precautions should the nurse take?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's disease.The caregiver reports that the client awakens at night and wanders.Which of the following strategies should the nurse suggest?

A nurse is caring for a group of clients in a pediatric clinic.Which of the following clients is at highest risk for physical abuse?

A nurse is assisting with reminiscence therapy for a group of older adult clients.Which of the following strategies should the nurse implement?

A client is becoming increasingly agitated, anxious, and tense.The nurse notes a clenched jaw and a change in the pitch of the client's voice.Which of the following interventions should the nurse implement first?

A nurse is collecting data from a client who has bulimia nervosa.Which of the following findings should the nurse expect?

A nurse is assisting with the care of a client who has dementia.Which of the following actions should the nurse take?

A nurse is collecting data from an adult client in an outpatient mental health clinic.The nurse should identify which of the following events as a potential cause of a maturational crisis?

A nurse is preparing to administer sertraline 50 mg PO once daily to a client who has depressive disorder. Available is sertraline oral solution 20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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?