A nurse is counseling a client whose partner has recently died. The client reports continuing to cook their partner's favorite meals. The nurse should identify that the client is using which of the following defense mechanisms?
Compensation
Dissociation
Rationalization
Denial
The Correct Answer is D
A. Compensation: Compensation involves emphasizing a strength to make up for a perceived weakness or deficiency. Preparing a deceased partner’s favorite meals does not serve to offset a personal deficiency, so this is not the correct defense mechanism.
B. Dissociation: Dissociation is the temporary detachment from reality or identity to cope with stress or trauma. Cooking familiar meals does not indicate a detachment from reality; the client is fully aware of their actions and circumstances.
C. Rationalization: Rationalization involves creating logical explanations to justify unacceptable behaviors or feelings. Cooking meals for a deceased partner is not an attempt to justify behavior but a coping mechanism, so rationalization does not apply.
D. Denial: Denial is a defense mechanism in which a person refuses to accept reality or facts to avoid emotional pain. Continuing to cook meals for a deceased partner reflects the client’s difficulty accepting the loss, making denial the most appropriate identification of their behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["45"]
Explanation
Identify the ordered dose and the available concentration
Ordered Dose: 30 g
Available Concentration: 10 g per 15 mL
Calculate the volume to administer per dose using the Dose/Have method
Amount to administer = (Ordered Dose ÷ Dose on Hand) × Quantity
Quantity corresponding to the Dose on Hand = 15 mL
Volume = (30 ÷ 10) × 15
= 3 × 15
= 45 mL
Correct Answer is D
Explanation
A. "My living will names my health care surrogate, who will be responsible for my medical expenses.": A health care surrogate is designated to make medical decisions if the client is unable, not to manage financial obligations. Advance directives focus on treatment preferences, so this statement reflects a misunderstanding of their purpose.
B. "Having advance directives requires participation in organ donation.": Advance directives do not require organ donation. Organ donation is a separate legal decision and can be indicated independently of advance directives. Associating the two shows a misconception about advance directive requirements.
C. "Advance directives are not legally enforceable unless signed by an attorney.": Advance directives are legally recognized when properly witnessed or notarized, depending on state law, but do not require an attorney’s signature. This statement overstates the legal requirements, indicating incomplete understanding.
D. "My advance directives communicate my decision to remain on a breathing machine.": Advance directives allow clients to express treatment preferences, including life-sustaining interventions. This statement demonstrates accurate understanding that advance directives guide health care decisions when the client cannot communicate.
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