An occupational health nurse is discussing health promotion with a client who has a history of obesity. Which of the following comments indicates the client is using rationalization as a coping mechanism?
I have lots of health problems from being obese.
I am obese because it's in my genes.
I have difficulty resisting the items in vending machines.
I know you don't like me because I am obese.
The Correct Answer is B
Choice A reason: This comment does not indicate rationalization, but rather a recognition of the consequences of obesity. The client may be expressing a need for help or motivation to change their lifestyle.
Choice B reason: This comment indicates rationalization, which is a defense mechanism that involves making excuses or justifying one's behavior or situation. The client may be avoiding personal responsibility or denying the possibility of change by blaming their obesity on their genes.
Choice C reason: This comment does not indicate rationalization, but rather a challenge or barrier that the client faces in achieving their health goals. The client may be acknowledging their weakness or seeking support to overcome their temptation.
Choice D reason: This comment does not indicate rationalization, but rather a projection or displacement of the client's negative feelings onto others. The client may be feeling insecure or rejected because of their obesity, and assuming that others share the same opinion.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Reporting the incident to local authorities is an important action, but it is not the first priority. The nurse should first assess the child's physical condition and provide any necessary care.
Choice B reason: Checking the child for injuries is the first action the nurse should take, as the child may have sustained physical harm from the abuse. The nurse should document any findings and report them to the appropriate authorities.
Choice C reason: Referring the parent to a social service agency is a helpful action, but it is not the first priority. The nurse should first ensure the child's safety and well-being.
Choice D reason: Enrolling the parent in anger management classes is a potential intervention, but it is not the first priority. The nurse should first address the immediate needs of the child and the family.
Correct Answer is D
Explanation
The correct answer is D.
Caffeinated beverages should be replaced with caffeine-free beverages. High levels of caffeine can cause low birth weight and may increase the chance of miscarriage. Pregnant women metabolize caffeine more slowly, which can affect the fetus.
Choice A reason: The need for supplemental folic acid is greatest during the first trimester to prevent neural tube defects. The recommended daily dose is 600 mcg.
Choice B reason: Adolescent pregnancy is associated with a higher risk of low birth weight infants, not high birth weight.
Choice C reason: Pregnant adolescents generally need to gain an appropriate amount of weight, similar to adult mothers, to support the growth and development of the fetus. The weight gain recommendations during pregnancy are based on the mother's pre-pregnancy BMI.
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