A nurse is working with a client who is the caregiver of a family member who has a serious mental illness. Which of the following statements by the client indicates acceptance of the role change?
"I hope I can prevent them from being hospitalized again."
"I will do my best even though I feel tired all of the time."
"I would like to have information about support groups"
“It is hard to make time for my children and my family member."
The Correct Answer is C
A. "I hope I can prevent them from being hospitalized again.": While this shows concern, it suggests that the client feels responsible for preventing hospitalization, which can be an unrealistic expectation and reflects potential caregiver burden rather than acceptance.
B. "I will do my best even though I feel tired all of the time.": This reflects exhaustion and a sense of being overwhelmed, but it does not necessarily indicate acceptance of the role change. The client may still be struggling with the emotional toll of caregiving.
C. "I would like to have information about support groups.": This statement indicates a proactive approach to managing the caregiving role, which suggests that the client is beginning to accept the changes and is seeking resources to help cope. It shows openness to support and adaptation to the role.
D. "It is hard to make time for my children and my family member.": This indicates that the client is struggling with balancing caregiving and family responsibilities, which suggests difficulty in fully accepting the new caregiving role.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Intellectualization: Intellectualization involves using logic or reasoning to avoid emotional response to stress, but it is not the defense mechanism demonstrated here. The client is not using abstract thinking to avoid feelings but justifying behavior.
B. Introjection: Introjection involves internalizing the beliefs or values of others, which is not what is happening in this scenario. The client is not adopting someone else’s values but rationalizing their own actions.
C. Rationalization: Rationalization is the defense mechanism the client is using. The client is justifying their drinking as a way to cope with stress, making the behavior seem reasonable or acceptable even though it may be harmful.
D. Repression: Repression involves unconsciously blocking out uncomfortable thoughts or feelings, but the client is not denying their emotions or thoughts about stress. Instead, they are justifying their behavior, which aligns more with rationalization.
Correct Answer is C
Explanation
A. "I still can't believe this happened to me.": Disbelief is a normal part of the early stages of grief, but it does not necessarily reflect improvement. The client may still be in the shock phase and struggling to accept the reality of the loss.
B. "I haven't been to our favorite restaurant since my partner died.": Avoiding places tied to the lost loved one doesn't indicate significant progress. The client may still be avoiding situations that trigger painful memories, preventing emotional healing.
C. "I haven't been feeling angry all the time.": This indicates positive progress in the grieving process. A decrease in persistent anger suggests the client is gaining better emotional control and adapting to the loss. It's a sign of emotional healing and adjustment.
D. "I don't know what to do with myself.": A sense of confusion and loss of purpose is common in prolonged grieving, but it does not show progress. The client may still be in the early stages of grief, struggling to adapt to life after the loss.
Complete the following sentence by using the lists of options.
The client is at risk of developing