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 B
Explanation
Choice B is correctbecause: Understanding the client's perspective on their living situation will help the nurse determine whether the client is aware of risks (such as unsafe living conditions or being at risk of harm) and if they need immediate interventions, like a safe place to stay or healthcare.
Developing client teaching using a variety of strategies (Choice A is wrong because) may be important for the client's long-term success, but it is not the priority at this time. While securing shelter is essential, the first step is to determine if the client recognizes their need for shelter, and whether they are ready or able to develop those goals themselves. Discussing the risks of being homeless with the client (Choice D is wrong because) can be done once the client's immediate need for shelter is met.
Choice A is wrong because: Developing client teaching using a variety of strategies is not the first priority in this situation.
Choice B is wrong because: Determining the client's understanding of her living situation is not the first priority in this situation.
Choice D is wrong because: Discussing the risks of being homeless with the client is not the first priority in this situation.
Correct Answer is A
Explanation
The correct answer is Choice A because, the test measures serum levels of HIV antibodies. Enzyme-linked immunosorbent assay (ELISA) testing is a screening test for HIV infection, which measures the presence of HIV antibodies in the blood.
Choice B is wrong because, the test monitors the progression of HIV, is incorrect as the ELISA test only indicates the presence of HIV antibodies in the blood, and does not monitor the progression of HIV. Choice C is wrong because, the test results are accurate 24 hr after HIV exposure, is incorrect as it takes at least 2-4 weeks for HIV antibodies to develop in the blood after exposure to the virus. Choice D is wrong because, a positive result indicates initiation of immunoglobulin administration, is incorrect as there is no treatment for HIV with immunoglobulin.
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