A patient undergoing diagnostic tests says. "Nothing is wrong with me except a stubborn chest cold." The spouse reports the patient smokes, coughs daily. lost 15 pounds and is easily fatigued. Which defense mechanism is the patient using?
Regression
Projection
Denial
Displacement
The Correct Answer is C
A. Regression is reverting to earlier developmental behaviors (e.g., thumb-sucking under stress). The patient is not showing childlike behaviors.
B. Projection involves attributing one’s own unacceptable feelings to others. The patient is not blaming others for symptoms.
C. Denial is refusing to acknowledge a painful reality. Despite clear symptoms and diagnostic testing, the patient minimizes illness by attributing it to "just a stubborn chest cold."
D. Displacement is redirecting emotions onto a safer target (e.g., yelling at spouse instead of boss). Not evident here.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Voluntary admission does not remove a patient’s right to refuse treatment; informed consent is still required for all medications and procedures.
B. Clients admitted voluntarily retain the right to make decisions about their care, including providing informed consent for treatments and medications. This statement accurately reflects the client’s rights.
C. Healthcare providers are not allowed to disclose patient admission information without consent; confidentiality is maintained.
D. Voluntary patients have the right to request discharge, usually with a short notice period, even before a formal discharge summary is completed.
Correct Answer is B
Explanation
A. Assessing lung sounds and extremities is not a priority in this context unless there are signs of fluid overload or other complications; it does not address the psychosocial aspect of anorexia recovery.
B. Positive reinforcement encourages the patient’s healthy behaviors and progress, helping to build motivation and self-esteem during the challenging refeeding process. Recognizing the patient’s achievement supports therapeutic engagement and adherence to treatment goals.
C. Immediately establishing a higher weight gain goal may increase anxiety or pressure on the patient, potentially undermining adherence and progress. Goals should remain realistic and individualized.
D. Suggesting aerobic exercise is inappropriate at this stage of refeeding, as excessive activity can interfere with weight restoration and may reinforce disordered behaviors.
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