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 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."
"I have lots of health problems from being obese."
The Correct Answer is A
The correct answer is Choice A because, "I am obese because it's in my genes." The client is using rationalization as a coping mechanism by justifying their obesity as being predetermined by their genes, rather than acknowledging their personal responsibility in managing their weight. Rationalization is a defense mechanism in which a person gives a false or socially acceptable explanation for an unacceptable behavior or situation.
Choice B is wrong because, "I have difficulty resisting the items in vending machines," is not the correct answer because it is an excuse rather than a rationalization.
Choice C is wrong because, "I know you don't like me because I am obese," is not the correct answer because it is an example of projection, in which the client attributes their own feelings of dislike to others.
Choice D is wrong because, "I have lots of health problems from being obese," is not the correct answer because it is a justification, not a rationalization
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D because, "Coordinator." The nurse case manager is functioning as a coordinator when arranging for the delivery of medical equipment to the client's home. A coordinator is responsible for organizing and coordinating various aspects of care, including delivery of equipment, scheduling appointments, and communicating with healthcare providers. A consultant (Choice A is wrong because) provides expert advice on a specific topic, while an advocate (Choice B is wrong because) speaks on behalf of the client to ensure their needs are met. A systems allocator
(Choice C is wrong because) is responsible for managing resources and allocating them appropriately.
Choice A is wrong because: A consultant provides expert advice on a specific topic.
Choice B is wrong because: An advocate speaks on behalf of the client to ensure their needs are met.
Choice C is wrong because: A systems allocator is responsible for managing resources and allocating them appropriately.
For Choice A is wrong because, providing expert advice may be part of the nurse case manager's role, but it is not the primary role when arranging for the delivery of medical equipment to the client's home. For Choice B is wrong because, while advocacy is an important aspect of nursing, it is not the correct role for the nurse case manager in this situation. For Choice C is wrong because, a systems allocator is responsible for managing resources at a higher level, such as allocating resources across multiple facilities or organizations.
Correct Answer is B
Explanation
The correct answer is Choice B because, "Teaching parenting techniques to new parents." This is the correct answer because it is a primary prevention strategy aimed at reducing violence and abuse in the local community.
Choice A is wrong because, "Providing treatment for a young adult who has a substance use disorder," is not the correct answer because it is a tertiary prevention strategy aimed at treating an individual after they have developed a substance use disorder.
Choice C is wrong because, "Conducting counseling for at-risk parents," is not the correct answer because it is a secondary prevention strategy aimed at reducing the risk of violence and abuse in families who are at-risk.
Choice D is wrong because, "Assessing a family for marital discord," is not the correct answer because it is a secondary prevention strategy aimed at identifying and addressing issues within a family, but it is not specifically related to violence and abuse.
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