A nurse is preparing to administer medications to a newly admitted client who has schizophrenia and is experiencing psychosis. Which of the following medications should the nurse plan to administer?

A. A family member of the client:
Using a family member might seem like a natural choice, but it could lead to issues of confidentiality, especially if the client does not want their family to know about their situation. Moreover, there could be bias or hesitancy to discuss certain matters in the presence of a family member.

B. A translator of the same gender as the client:
This choice is ideal because individuals might feel more comfortable discussing personal and sensitive topics with someone of the same gender due to cultural or personal reasons. This can foster trust and open communication, crucial in support groups addressing sensitive matters like substance use disorders.

C. A unit secretary who speaks the same language as the client:
While this person might be fluent in the language, their role as a unit secretary might create discomfort for the client. They may not feel as at ease discussing personal issues with someone in a different professional role, even if they share the same language.

D. Another client who speaks the same language as the client:
While peer support can be beneficial, using another client as a translator can compromise the confidentiality and professionalism of the support group. It’s important to maintain boundaries and ensure that communication is facilitated by a professional translator or staff member, especially in sensitive and confidential settings like therapy or support groups.

A. Displacement:
Displacement is a defense mechanism where a person redirects their feelings, often negative or hostile ones, from the original source or target to a different, less threatening target. For example, if the client were to express anger at their boss by yelling at their family members instead, it would be an example of displacement.
B. Rationalization:

Rationalization is a defense mechanism in which a person provides logical or reasonable explanations to justify or explain a situation or behavior, even if these explanations are not entirely true or valid. It involves creating justifications or excuses to make an event or one's actions appear more reasonable or acceptable. In this case, the client is rationalizing the job loss by attributing it to their boss not liking them, which may be an oversimplified or inaccurate explanation.
C. Dissociation:

Dissociation is a defense mechanism where a person mentally separates themselves from their own thoughts, feelings, or experiences to cope with overwhelming or traumatic situations. It involves a disconnection from reality. The client's statement doesn't suggest dissociation; rather, they are providing a reason for their job loss.

D. Repression:
Repression is a defense mechanism that involves the unconscious exclusion of painful or anxiety-provoking thoughts, feelings, or memories from awareness. It is not readily visible or expressed in behavior. The client's statement involves a conscious attempt to explain their job loss, so it's not an example of repression.