A nurse is providing care for a patient who states, “I didn’t take my medication because my partner forgot to remind me.”. Which defense mechanism is the patient demonstrating?
Regression
Rationalization
Projection
Repression
The Correct Answer is B
Choice A rationale
Regression is a defense mechanism where an individual reverts to a previous stage of development in response to a stressful situation. This is not demonstrated in the patient’s statement.
Choice B 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 C rationale
Projection involves attributing one’s own unacceptable thoughts or feelings to others. This is not demonstrated in the patient’s statement.
Choice D rationale
Repression involves unconsciously blocking out painful or uncomfortable thoughts or feelings. This is not demonstrated in the patient’s statement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Leaving the client alone to eat might not address the client’s paranoid belief that the food is poisoned. It could potentially exacerbate the client’s anxiety and paranoia.
Choice B rationale
Asking the client’s family to bring in favorite foods might not be feasible in all situations. Moreover, the client might still harbor paranoid beliefs about the food being poisoned.
Choice C rationale
Allowing the client to observe other clients eating the same food can help alleviate the client’s paranoid belief that the food is poisoned. Seeing others safely consuming the same food can provide reassurance.
Choice D rationale
Giving the client an “anti-poison” placebo prior to meals is not an ethical practice. It can potentially undermine the trust in the therapeutic relationship.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
Mutuality involves a shared understanding and agreement between the nurse and the client about the goals and direction of therapy.
Choice B rationale
Caring involves showing kindness, concern, and support for the client.
Choice C rationale
Empathy involves understanding and sharing the feelings of the client.
Choice D rationale
Genuineness involves being open, honest, and authentic in interactions with the client.
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