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
Explanation
Nurses should withhold the name of the client who has an STI during partner notification. This statement indicates an understanding of the importance of maintaining client confidentiality while also ensuring that partners are notified of their potential exposure to an STI.
Choice B is not the best answer because it is not Congress that mandates the requirements for STI reporting, but rather the Centers for Disease Control and Prevention (CDC).
Choice C is not the best answer because state health departments report selected STIs to the CDC, not to the National Institutes of Health.
Choice D is not the best answer because clients who have STIs are not legally required to provide a list of sexual partners, although they may be encouraged to do so voluntarily.
Correct Answer is D
Explanation
The enzyme-linked immunosorbent assay (ELISA) tests a patient’s blood sample for HIV antibodies1.
Choice A is not the correct answer because the test results are not accurate 24 hours after HIV exposure.
It can take several weeks for the body to produce enough antibodies to be detected by an ELISA test1.
Choice B is not the correct answer because the test does not monitor the progression of HIV.
Choice C is not the correct answer because a positive result does not indicate initiation of immunoglobulin administration.
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