A nurse is caring for a client who has a new diagnosis of cancer.
The client states, "I can't think about my health until after my son is married next week.”. The nurse should identify the client's statement as an indication of which of the following maladaptive defense mechanisms?.

Suppression

Reaction formation.

Splitting.

Projection.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Suppression is a conscious decision to delay paying attention to an emotion or need in order to cope with the present reality. In this case, the client is choosing to delay thinking about their health until after their son’s wedding.

Choice B rationale:

Reaction formation is behaving in a way that is exactly the opposite of one’s true feelings. This is not evident in the client’s statement.

Choice C rationale:

Splitting is the inability to integrate the positive and negative qualities of oneself or others into a cohesive image. This is not evident in the client’s statement.

Choice D rationale:

Projection is attributing one’s unacceptable thoughts and feelings onto another who does not have them. This is not evident in the client’s statement.

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Correct Answer is B

Explanation

Choice A rationale:

Attending a cognitive behavioral therapy class does not require informed consent as it is a non-invasive form of treatment.

Choice B rationale:

Informed consent is necessary when taking an experimental medication to ensure the client understands the potential risks and benefits.

Choice C rationale:

Light therapy is a non-invasive treatment and does not typically require informed consent.

Choice D rationale:

Participating in a group exercise program is a non-invasive form of treatment and does not require informed consent.

A. "I can discuss a client's information with staff who have provided care in the past.”. B. "The provider must give consent to discuss health information with the client's family.”. C. "A client retains the legal right to privacy of health information even after they have died.”. D. "A provider may speak to a client's employer regarding a substance use disorder.”.

Correct Answer is C

Explanation

Choice A rationale:

Discussing a client’s information with staff who have provided care in the past is not appropriate unless it is necessary for the client’s current care.

Choice B rationale:

The provider does not need to give consent to discuss health information with the client’s family. The client is the one who must give consent.

Choice C rationale:

This statement is correct. A client retains the legal right to privacy of health information even after they have died.

Choice D rationale:

A provider may not speak to a client’s employer regarding a substance use disorder without the client’s consent.

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A nurse is caring for a client who has a new diagnosis of cancer. The client states, "I can't think about my health until after my son is married next week.”. The nurse should identify the client's statement as an indication of which of the following maladaptive defense mechanisms?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has bipolar disorder and whose admission was voluntary. For which of the following interventions should the nurse confirm that the client has given informed consent?.

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?.

Correct Answer is C

Explanation

A nurse is speaking with the sibling of a client who refuses to see visitors. Which of the following actions should the nurse take?.

A nurse in a substance use disorder clinic is explaining the alcohol recovery process to a client's family. Which of the following should the nurse identify as the first step toward successful recovery from alcohol use disorder?.

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A nurse is beginning a therapeutic relationship with a client who has paranoid personality disorder. Which of the following strategies should the nurse plan to use?.

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A nurse is collecting data from a client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.) .

A nurse is collecting data from an adult client in an outpatient mental health clinic. The nurse should identify which of the following events as a potential cause of a maturational crisis?.

A nurse is caring for a client who has a new diagnosis of cancer.
The client states, "I can't think about my health until after my son is married next week.”. The nurse should identify the client's statement as an indication of which of the following maladaptive defense mechanisms?.