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:

A motor-vehicle crash is an adventitious crisis, not a maturational one.

Choice B rationale:

A child leaving for college is a normal developmental milestone that can cause stress.

Choice C rationale:

Loss of a job is a situational crisis, not a maturational one.

Choice D rationale:

Divorce is a situational crisis, not a maturational one.

A. Administer the medication with meals. B. Monitor the client for hypoglycemia. C. Decrease the client's dietary potassium. D. Increase the client's daily caloric intake.

Correct Answer is A

Explanation

Choice A rationale:

Administering lithium with meals can help reduce gastrointestinal upset, a common side effect of the medication.

Choice B rationale:

Lithium does not typically cause hypoglycemia. It primarily affects the nervous system and kidneys.

Choice C rationale:

There’s no need to decrease dietary potassium. Lithium can affect sodium levels, but not potassium.

Choice D rationale:

Increasing daily caloric intake is not necessary when taking lithium. The medication does not affect metabolism or caloric needs.

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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 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?.

Correct Answer is B

Explanation

A nurse is contributing to the plan of care for a client who has a new prescription for lithium. Which of the following interventions should the nurse recommend?.

Correct Answer is A

Explanation

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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?.