An occupational health nurse is discussing health promotion with a client who has obesity.
Which of the following comments indicates the client is using rationalization as a coping mechanism?
"I have difficulty resisting the items in vending machines.".
"It's in my genes that I am obese.".
"I know you don't like me because I am obese.".
"I have lots of health problems from being obese.".
The Correct Answer is B
This statement indicates that the client is using rationalization as a coping mechanism by justifying their obesity with a seemingly logical reason 1.
Choice A, “I have difficulty resisting the items in vending machines,” does not indicate rationalization as it is a statement of fact.
Choice C, “I know you don’t like me because I am obese,” indicates the use of projection as a coping mechanism by attributing their own feelings to someone else.
Choice D, “I have lots of health problems from being obese,” does not indicate rationalization as it is a statement of fact.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E"]
Explanation
The findings that require action by the nurse are A and E.
The water heater being set at 140°F is a safety concern because it can cause scalding.
It is recommended to set the water heater temperature to 120°F to prevent scalding1.
An extension cord extending across the floor of a long room is also a safety concern because it can pose a tripping hazard and can be damaged if walked on, potentially causing a fire or electrical shock2.
Choices B, C, and D do not require action by the nurse.
A nightlight in the bedroom at night can provide visibility and prevent falls. Carpeted floors can provide cushioning in case of falls.
A rubber-backed bath mat outside the shower can prevent slipping.
Correct Answer is D
Explanation
This statement suggests that the client may have a problem with their peripheral vision or neck mobility, which should be assessed further by the nurse.
Choice A, “Prepare my medications for the week on Sundays,” is not a cause for concern as it shows that the client is organized and proactive in managing their medications.
Choice B, “Prepare all of my own meals,” is also not a cause for concern as it shows that the client is independent and capable of taking care of their nutritional needs.
Choice C, “Need to change my hearing aid battery weekly,” is not a cause for concern as it is a routine maintenance task for those who use hearing aids.
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