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.
Rationalization.
Displacement.
The Correct Answer is D
Answer is: d. Displacement.
Explanation: Displacement is a defense mechanism in which an individual redirects their emotions, feelings, or impulses from their original source to a less threatening target. In this case, the client is redirecting his anger toward his partner onto the nurse, making displacement the defense mechanism being demonstrated.
Choice a. is wrong because denial involves refusing to accept or acknowledge reality, often to protect oneself from emotional distress. There is no indication that the client is denying his situation or feelings in this scenario.
Choice b. is wrong because compensation involves making up for perceived weaknesses or deficiencies in one area by excelling in another. The client's behavior does not reflect an attempt to compensate for any shortcomings.
Choice c. is wrong because rationalization is a defense mechanism where an individual justifies their actions or feelings using seemingly logical reasons to avoid self-criticism or emotional discomfort. The client's behavior in this scenario does not involve providing any logical explanation for his anger.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is: A. Withhold the next dose of the medication.
Choice A rationale: Lamotrigine can cause serious skin reactions, including Stevens-Johnson syndrome and toxic epidermal necrolysis. Any rash should be taken seriously, and the medication should be withheld immediately to prevent potential severe reactions1.
Choice B rationale: While a change in laundry detergent could cause a rash, it is less likely to be the cause if the rash appeared after starting lamotrigine.
Choice C rationale: Applying hydrocortisone cream may help with mild skin irritations, but it does not address the potential severity of a drug-induced rash.
Choice D rationale: Explaining that the medication causes a temporary rash is not appropriate without first assessing the severity of the rash and withholding the medication.
Correct Answer is B
Explanation
Choice A rationale:
The recreational therapist is not typically involved in housing placement. Their role is more focused on providing therapeutic activities and recreation to clients.
Choice B rationale:
The social worker is the most appropriate team member to contact for housing placement assistance. Social workers are trained to address psychosocial issues, including housing, and can help the client find suitable living arrangements.
Choice C rationale:
The clinical nurse specialist may have a role in the client's care but is not typically responsible for housing placement. Their expertise is usually related to clinical care and education.
Choice D rationale:
The occupational therapist's primary focus is on helping clients with activities of daily living and improving functional independence. They are not typically responsible for housing placement.
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