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 A

Explanation

A. Remaining with the client after meals helps provide emotional support and prevents purging behaviors that may occur in individuals with eating disorders like binge eating disorder.
B. Regular monitoring of weight is important, but frequent weighing may contribute to anxiety and focus on weight rather than addressing the underlying disorder.
C. Offering snacks on demand could encourage disordered eating patterns and may not help in establishing regular eating habits.
D. While involving the client in meal planning can be helpful for certain eating disorders, the focus should be on establishing a structured, balanced eating plan and addressing emotional needs rather than allowing unstructured eating.

A. "Are you okay with not being able to do some things you used to do?" B. "Is anyone available to assist you with your hygiene?" C. "How has this impacted your life?" D. "Why do you think this has happened?"

Correct Answer is C

Explanation

A. While this question may provide some insight into the client's feelings, it is more focused on acceptance and may not fully assess their coping mechanisms.
B This is a practical question addressing the client's needs but does not directly assess the client's coping ability.
C. Asking about the impact of the stroke on the client's life helps assess their emotional response and coping mechanisms. It provides the nurse with a broader understanding of how the client is adjusting to their condition.
D. This question may put the client on the defensive or lead to feelings of guilt or frustration, which may hinder their coping process. The focus should be on understanding the client's emotional response rather than exploring blame.

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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

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Correct Answer is A

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Correct Answer is C

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