A registered nurse is admitting a client to an alcohol abuse program. The client states, here because of my boss. It was part of my job to go to parties and drink with clients. The client's statement is an example of which of the following defense mechanisms?
Select one:

Compensation

Suppression

Rationalization

Reaction-formation

Answer and Explanation

The Correct Answer is C

Rationalization is a defence mechanism in which a person attempts to justify or explain their behavior or actions in a way that makes them seem more acceptable or reasonable. In this case, the client is using rationalization by attributing their alcohol abuse to their job and the need to drink with clients at parties.

Option a. Compensation is a defense mechanism in which a person attempts to make up for a perceived weakness or deficiency by excelling in another area.

Option b. Suppression is a defense mechanism in which a person consciously chooses to avoid thinking about or dealing with unpleasant thoughts or feelings.

Option d. Reaction-formation is a defense mechanism in which a person behaves in a way that is opposite to their true feelings or desires.

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Correct Answer is C

Explanation

Diarrhea, vomiting, and drowsiness are potential signs of lithium toxicity, which can be a serious and potentially life-threatening condition. If a client who is being treated with lithium carbonate develops these symptoms, the nurse should notify the health care provider immediately and hold the next dose of medication until new orders are received from the provider.

Option a. Hold the medication and refuse to administer additional doses for 3 days is not an appropriate action because it does not involve notifying the health care provider or obtaining new orders.

Option b. Notify the health care provider immediately and give 4 liters of ﬂuids is not an appropriate action because it involves administering ﬂuids without obtaining orders from the health care provider.

Option d. Document the client’s symptoms and continue with medication as prescribed is not an appropriate action because it does not involve notifying the health care provider or holding the next dose of medication.

A. Invasion of privacy B. Battery C. False imprisonment D. Assault

Correct Answer is C

Explanation

False imprisonment is the unlawful restraint of a person against their will. In this situation, the nurse’s actions of placing the client in seclusion overnight because the unit is short-staﬀed and the client frequently fights with other clients may be considered false imprisonment if the client did not consent to being placed in seclusion and if there were no legal grounds for doing so.

Option a. Invasion of privacy refers to the violation of a person’s right to privacy.

Option b. Battery refers to the intentional and harmful or oﬀensive touching of another person without their consent.

Option d. Assault refers to the intentional act of causing another person to fear immediate harm or oﬀensive contact.

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A registered nurse is admitting a client to an alcohol abuse program. The client states, here because of my boss. It was part of my job to go to parties and drink with clients. The client's statement is an example of which of the following defense mechanisms? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is being treated with lithium carbonate for bipolar disorder type I begins to develop diarrhea, vomiting, and drowsiness. Which action should the registered nurse take? Select one:

Correct Answer is C

Explanation

A registered nurse puts a client who has a psychotic disorder in seclusion overnight because the unit is very short-staﬀed, and the client frequently fights with other clients. the nurse's actions are an example of which of the following torts?

Correct Answer is C

Explanation

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A registered nurse is admitting a client to an alcohol abuse program. The client states, here because of my boss. It was part of my job to go to parties and drink with clients. The client's statement is an example of which of the following defense mechanisms?
Select one: