A nurse manager is talking to a nurse who she suspects has alcohol use disorder. The nurse tells the nurse manager, "I don't have a problem. I'm just tired." The nurse manager should identify that the nurse is using which of the following defense mechanisms?
Repression
Projection
Rationalization
Denial
The Correct Answer is D
A. Repression: Repression involves unconsciously blocking unacceptable thoughts or feelings, not denying a problem exists.
B. Projection: Projection is attributing one’s own unacceptable feelings or behaviors to someone else.
C. Rationalization: Rationalization involves justifying a behavior with logical, but false, reasons.
D. Denial: Denial involves refusing to acknowledge the reality of a situation, such as the presence of an alcohol use disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Maintain a nonjudgmental attitude: A nonjudgmental approach promotes trust and encourages the client to disclose pertinent information.
B. Avoid mentioning alcohol use when collecting client data: It is essential to discuss alcohol use openly to guide effective care and intervention.
C. Offer sympathetic support: While empathy is important, over-sympathizing may undermine professional boundaries.
D. Verbalize disapproval of the substance abuse: Expressing disapproval is likely to provoke defensiveness and hinder communication.
Correct Answer is B
Explanation
A. Methadone: Methadone is used for opioid withdrawal, not alcohol.
B. Benzodiazepines: Benzodiazepines, such as lorazepam or diazepam, are first-line medications to manage alcohol withdrawal symptoms, prevent seizures, and reduce the risk of delirium tremens.
C. Naloxone: Naloxone is used to reverse opioid overdose.
D. Diphenhydramine: While it may help with mild symptoms like sleep disturbance, it is not a primary treatment for withdrawal.
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