A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?

Denial

Compensation

Displacement

Rationalization

Answer and Explanation

The Correct Answer is C

A.   Denial is a defense mechanism where a person refuses to accept reality or facts. The client is not denying the situation but is demonstrating anger outwardly.
B.   Compensation involves overachieving in one area to make up for deficiencies in another, which is not being exhibited here.
C.   Displacement occurs when a person redirects their emotions from the original source of anger to a less threatening object or person. In this case, the client is displacing his anger onto the nurse rather than addressing the issue with his partner.
D.   Rationalization is the process of creating logical excuses for illogical behavior, but the client is not providing excuses for his behavior in this instance.

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Correct Answer is D

Explanation

A. Allowing the client to focus on the delusion may reinforce it and prevent the client from engaging in reality-based thinking.
B. While managing impulses is important, it does not address the delusional thinking directly.
C. Contradicting the client's delusions may increase their anxiety or cause the client to become more resistant.
D. Asking the client to describe their beliefs allows the nurse to assess the delusion and may provide an opportunity to offer reality-based statements without directly confronting the delusion.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

Correct choices are metoclopramide then propranolol Rationale

1. Metoclopramide:

The first choice should be metoclopramide, an antiemetic, because the client is experiencing vomiting. Vomiting is a common symptom of alcohol withdrawal, which can be aggravated by nausea.

Metoclopramide can help manage the vomiting by promoting gastric emptying and alleviating nausea, thus improving the client's comfort and preventing further complications from dehydration and electrolyte imbalances due to vomiting.

2.Propranolol:

After addressing the vomiting, the nurse should administer propranolol. This beta-blocker is useful for managing alcohol withdrawal symptoms such as elevated heart rate and blood pressure, which the client is exhibiting. On Day 2, the client's blood pressure has increased significantly (198/86 mm Hg), and their heart rate has risen to 116/min, which suggests sympathetic hyperactivity typical of alcohol withdrawal. Propranolol can help reduce these vital sign changes, manage agitation, and prevent complications such as cardiovascular instability.

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A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia and is experiencing a delusion. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who is experiencing alcohol withdrawal. Exhibits Complete the following sentence by using the lists of options. The nurse should first administer dropdown followed by administering dropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

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