A nurse is preparing to administer fluoxetine 40 mg PO daily.

The amount available is fluoxetine 20 mg/5mL.

How many mL should the nurse administer?

(Round the answer to the nearest whole number. Use a leading zero if it applies.Do not use a trailing zero.).

While the client's statement might seem like other defense mechanisms, here's why Denial is the most fitting choice: Denial:

Involves refusing to acknowledge a painful or threatening reality.

The client attributes their cough, a potential symptom of lung cancer, to a common cold, dismissing the possibility of their condition worsening.

This allows them to avoid the emotional distress associated with facing their illness. Other options and their rationales:

Reaction formation (Choice A): This involves expressing the opposite of what one truly feels or desires. The client doesn't show any outward signs of expressing emotions opposite to their actual feelings about their health.

Suppression (Choice C): This involves consciously pushing unpleasant thoughts or feelings out of awareness. While the client might downplay the cough, they haven't completely pushed the thought of their illness away.

Regression (Choice D): This involves reverting to an earlier stage of development in response to stress. There's no indication of the client displaying behaviors characteristic of an earlier developmental stage.

Addressing other potential mechanisms:

Displacement: Redirecting emotions towards a less threatening target is not evident in the scenario.

Rationalization: Justifying behavior in a way that avoids facing the true reasons is not seen in the client's explanation. Projection: Attributing one's own feelings or desires to others is not present in the client's statement.

Remember:

Denial is a common coping mechanism for dealing with difficult realities like illness.

It's crucial for the nurse to assess the extent of the client's denial and offer support without judgment.

The goal is to help the client acknowledge their illness while providing emotional support and resources for managing their condition.

Choice A rationale: Sweating and fever are not typically associated with buspirone use. These symptoms could be indicative of another underlying condition or a different medication side effect.

Choice B rationale: Discolored urine is not a common side effect of buspirone. If a patient experiences this, it may be due to other factors such as dehydration, certain foods, or other medications.

Choice C rationale: Decreased appetite is not a common side effect of buspirone. While some medications can affect appetite, buspirone is not typically associated with significant changes in appetite.

Choice D rationale: Hallucinations are a serious side effect and should be reported to the provider immediately. Although rare, buspirone can cause severe side effects such as mental depression, confusion, and uncontrolled

movements of the body. If a patient experiences hallucinations while taking buspirone, it could indicate a serious adverse reaction that requires immediate medical attention.