a nurse is caring for a patient who states, “I did not take my medication because my partner forgot to remind me.”. The nurse should identify that the patient is demonstrating which of the following defense mechanisms?
Regression
Projection
Rationalization
Repression
The Correct Answer is C
Choice A rationale
Regression is a defense mechanism where an individual reverts to an earlier stage of development or a less mature behavior when faced with stress or anxiety. This does not fit the scenario provided. Choice B rationale
Projection involves attributing one’s own unacceptable feelings or thoughts to others. This is not the case in the scenario provided.
Choice C rationale
Rationalization involves creating logical but untrue explanations to justify unacceptable behavior or feelings. In this scenario, the patient is rationalizing their failure to take their medication by blaming their partner’s forgetfulness.
Choice D rationale
Repression involves unconsciously blocking out painful or uncomfortable thoughts or feelings. This does not fit the scenario provided.
Question 14.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Before repositioning a patient, the nurse should first elevate the height of the patient’s bed. This allows the nurse to work at a comfortable height and reduces the risk of injury.
Choice B rationale
While tightening the abdominal muscles can help with lifting and moving, it is not the first action the nurse should take when preparing to reposition a patient.
Choice C rationale
Positioning the feet in line with the shoulders can provide a stable base of support when moving or lifting. However, this is not the first action the nurse should take when preparing to reposition a patient.
Choice D rationale
Pivoting the feet in the direction of the move can help with turning and moving. However, this is not the first action the nurse should take when preparing to reposition a patient.
Correct Answer is B
Explanation
Choice A rationale
Hypoglycemia, or low blood sugar, is not typically a manifestation of the fight-or-flight response. In fact, the opposite is true. During the fight-or-flight response, the body’s glucose levels often increase to provide extra energy for the perceived threat.
Choice B rationale
Dilated pupils are a common physical manifestation of the fight-or-flight response. This physiological change allows more light to enter the eyes, enhancing vision and awareness of the environment during a stressful event.
Choice C rationale
Bronchial airway constriction is not typically associated with the fight-or-flight response. In fact, the bronchial airways often dilate during this response to allow for increased oxygen flow, which is necessary for physical exertion.
Choice D rationale
Decreased blood pressure is not a typical response to stress. During the fight-or-flight response, blood pressure usually increases to enhance blood flow to the muscles and brain.
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