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

Answer and Explanation

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.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Having a learning disability: Learning disabilities can increase vulnerability due to academic struggles and lower self-esteem.

B. Inadequate sleep at night: While poor sleep can affect mood and behavior, it is not a direct high-risk factor for substance abuse.

C. Substance use within immediate family: Exposure to substance use in the family normalizes such behavior, increasing the risk.

D. Feeling unsafe at home: An unstable or unsafe home environment is a significant risk factor for substance abuse.

E. Fighting with peers at school: Peer conflict can lead to isolation and susceptibility to negative influences like substance use.

A. "I have no intention to stop drinking. I like the way it makes me feel." B. "I have tried so many times to stop drinking. It is so hard." C. I don't really have a problem with alcohol. I've just been having a streak of bad luck lately." D. "I really need some help. My drinking is tearing my family apart."

Correct Answer is C

Explanation

A. "I have no intention to stop drinking. I like the way it makes me feel.": This is an example of denial but does not strongly indicate a defense mechanism.

B. "I have tried so many times to stop drinking. It is so hard.": This demonstrates acknowledgment of the problem and a desire for change, not a defense mechanism.

C. "I don't really have a problem with alcohol. I've just been having a streak of bad luck lately.": This is an example of rationalization, a defense mechanism where the individual justifies their behavior with excuses.

D. "I really need some help. My drinking is tearing my family apart.": This statement reflects insight and readiness for change, not a defense mechanism.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a 12-year-old child. Which of the following assessment findings would indicate a high risk for developing substance abuse? (Select All that Apply.)

Correct Answer is ["A","C","D","E"]

Explanation

The nurse is assessing the drinking history of a client with a history of alcohol abuse. The client is being admitted after being found unresponsive in a public place. Which statement would indicate the use of defense mechanisms?

Correct Answer is C

Explanation

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