A nurse is speaking to the family of a Trauma victim. The nurse is blocking out the siren and alarm noises while speaking with the client’s family. They ask,” How can you be so calm and focused with all this noise going on?” The nurse is practicing which defense mechanism?
Disassociation-adaptive
Denial-adaptive
Rationalization-maladaptive
Altruism-maladaptive
The Correct Answer is A
Disassociation is a defense mechanism that involves mentally separating oneself from a stressful or traumatic situation in order to maintain a sense of calm and focus. In this scenario, the nurse is able to block out the sirens and alarms, which may be causing stress and anxiety, and maintain a calm and focused demeanor while speaking with the client's family. This is an adaptive use of disassociation because it allows the nurse to provide effective care and support to the family despite the chaotic environment.
Denial is a defense mechanism that involves denying or minimizing the existence of a stressful or traumatic situation. Rationalization involves justifying or excusing one's behavior or actions. Altruism involves selflessly helping others as a way of dealing with one's own problems. In this scenario, none of these defense mechanisms are being used by the nurse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
To calculate the number of tablets to administer, we can use the following formula: Number of tablets = Required dose / Tablet strength
In this case, the required dose is 15 mg, and the tablet strength is 30 mg: Number of tablets = 15 mg / 30 mg = 0.5
The nurse should administer 0.5 tablets of buspirone every 12 hours. However, since a tablet cannot be divided, the nurse should administer one tablet every 24 hours.
Correct Answer is C
Explanation
The nurse’s action of placing the client in the seclusion room until he admits responsibility for the fight in the day room could be viewed as false imprisonment. False imprisonment is the unlawful restraint of a person against their will. In this case, the nurse is using the seclusion room to restrain the client against their will and is conditioning their release on admitting responsibility for the fight, which could be considered unlawful.
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