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."

Answer and Explanation

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

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Correct Answer is D

Explanation

The correct answer is Choice D because, "Perform a needs assessment." Before developing a mobile meal program, the nurse should assess the needs of the older adults in the community to determine the appropriate services to provide. Inquiring about the availability of volunteers (Choice A is wrong because), identifying alternative solutions (Choice B is wrong because), and determining potential funding sources (Choice C is wrong because) are important steps, but they should be taken after performing a needs assessment.

Choice A is wrong because: Inquiring about the availability of volunteers should be done after performing a needs assessment.

Choice B is wrong because: Identifying alternative solutions to address concerns should be done after performing a needs assessment.

Choice C is wrong because: Determining potential funding sources for the program should be done after performing a needs assessment.

Choice D is wrong because: Performing a needs assessment is the first step in developing a mobile meal program.

A. Promote the placement of healthy food choices in the community. B. Examine the prevalence of childhood obesity in the community. C. Provide nutritional education to children and their families. D. Establish goals for the community to decrease childhood obesity.

Correct Answer is B

Explanation

The correct answer is Choice B because it "Examines the prevalence of childhood obesity in the community." The nurse should gather data on the extent of the problem in the community before planning interventions. Promoting the placement of healthy food choices in the community (Choice A is wrong because), providing nutritional education to children and their families (Choice C is wrong because), and establishing goals for the community to decrease childhood obesity (Choice D is wrong because) are all important steps in addressing the issue, but should be based on an understanding of the extent and nature of the problem.

Choice A is wrong because: Promoting the placement of healthy food choices in the community is an important step in addressing childhood obesity, but should be based on an understanding of the extent and nature of the problem.

Choice C is wrong because Providing nutritional education to children and their families is an important step in addressing childhood obesity, but should be based on an understanding of the extent and nature of the problem.

Choice D is wrong because Establishing goals for the community to decrease childhood obesity is an important step in addressing childhood obesity, but should be based on an understanding of the extent and nature of the problem.

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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?

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Naxlex Comprehensive Predictor Exams

A faith-based organization asks a community health nurse to develop a mobile meal program for older adults who are no longer driving. Which of the following actions should the nurse plan to take first?

Correct Answer is D

Explanation

A community health nurse is planning strategies to address childhood obesity in the area. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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