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 C

Explanation

A. Encouraging the client to sleep during the day may disrupt their circadian rhythm and is not a sustainable solution. The nurse should aim to address the environmental issue rather than shift the client's sleep schedule.
B. While white noise can help mask environmental sounds, it may not be an ideal solution for an inpatient setting where noise levels may need to be reduced overall for all patients.
C. Reducing noise during nighttime is a proactive and appropriate intervention to help the client sleep better. Minimizing activities and conversation during quiet hours can promote rest and improve sleep quality.
D. This statement is dismissive of the client's concern and does not offer a constructive solution. It is important to address the specific issue rather than suggest the client simply "get used to it."

A. Generalizing B. Manipulating C. Distracting D. Placating

Correct Answer is A

Explanation

A. This statement is an example of generalizing, where the client makes a broad statement without recognizing specific instances or nuances. "Always criticizing" is an overgeneralization and may not accurately reflect the situation.
B. Manipulating involves influencing or controlling others in an indirect or deceptive way. The statement does not suggest manipulation but rather a complaint about perceived behavior.
C. Distracting communication occurs when someone diverts attention away from the topic. The statement does not exhibit this behavior; it is a direct expression of concern.
D. Placating involves trying to calm someone down or please them to avoid conflict. The client's statement is more accusatory than an attempt to placate.

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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 C

Explanation

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Correct Answer is A

Explanation

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