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 D
Explanation
A. “I’m not very comfortable with being alone yet." While this statement reflects a challenge, it does not directly suggest a risk of relapse.
B. "Shooting baskets helps me not think about getting high." This reflects a positive coping mechanism.
C. "I am going to take up a new hobby. It's time to start something new." Engaging in new activities is a sign of recovery.
D. "I can still hang out with my old friends. I am just not going to use." Associating with friends who use substances significantly increases the risk of relapse.
Correct Answer is C
Explanation
A. Bone and muscle aches: These are more commonly associated with opioid withdrawal, not alcohol withdrawal.
B. Decreased blood pressure and nausea: Alcohol withdrawal is typically associated with increased blood pressure, not decreased blood pressure.
C. Increased heart rate and vomiting: Tachycardia and gastrointestinal symptoms like vomiting are common signs of alcohol withdrawal.
D. Constipation and pupil constriction: These symptoms are not characteristic of alcohol withdrawal but are associated with opioid use.
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