A nurse is caring for a client who is having an adverse medication reaction. The client states “The nurse told me not to drink when taking the medication, but she didn’t tell me having one drink could cause a problem.” The nurse should recognize that the client is exhibiting which of the following defense mechanisms?
Denial
Displacement
Rationalization
Reaction formation
Guilty
The Correct Answer is C
The client is exhibiting the defence mechanism of rationalization, which involves justifying or explaining one’s behavior or feelings in a seemingly logical manner to avoid the true explanation. In this case, the client is rationalizing their decision to drink while taking medication by blaming the nurse for not providing enough information, rather than taking responsibility for their own actions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
In this situation, it is important for the nurse to maintain professional boundaries and avoid sharing personal information with the client. Instead of engaging in a conversation about his personal life, the nurse should redirect the conversation back to the client and their needs. This approach helps to keep the focus on the therapeutic relationship and ensures that the client receives appropriate care and support.
Correct Answer is D
Explanation
An intentional tort is a wrongful act committed by someone who intends to cause harm. In this case, the nurse’s decision to administer medication to the client without a valid medical reason and solely for the purpose of preventing violent behavior due to staffing issues could be considered an intentional tort. The nurse’s actions could be seen as an intentional attempt to harm the client by administering medication without proper justification.
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