When the patient who overeats insists that weight gain is related to retained fluids, the nurse recognizes the patient is using which defense mechanism?
Compensation
Rationalization
Regression
Projection
The Correct Answer is B
A. Compensation involves offsetting perceived deficiencies by excelling in other areas. The patient claiming weight gain is due to fluid retention is not trying to make up for a perceived weakness or deficiency; instead, they are explaining their behavior in a way that deflects responsibility.
B. Rationalization is a defense mechanism where a person provides logical or reasonable-sounding explanations for behaviors or situations that are actually motivated by irrational or emotional factors. In this case, the patient who overeats is rationalizing their weight gain by attributing it to fluid retention rather than addressing the underlying issue of overeating. This allows them to avoid facing the real cause of their weight gain.
C. Regression involves reverting to earlier stages of development or behavior when faced with stress. For instance, an adult might act childishly when under pressure. The patient in this scenario is not behaving in a more immature or childlike manner but is rather giving an excuse for their behavior.
D. Projection involves attributing one's own undesirable thoughts or feelings to others. For example, someone who is untrustworthy might accuse others of being untrustworthy. The patient in this scenario is not attributing their own issues to others but is offering an excuse for their own behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Depression is not rare among the elderly; in fact, it is a significant concern in older adults. Factors such as loss of loved ones, chronic health problems, social isolation, and major life changes contribute to the prevalence of depression in this age group.
B. Depression is indeed one of the most common mental disorders, affecting people across various age groups and backgrounds. It is also highly treatable, with a range of effective treatments available, including psychotherapy, medication, and lifestyle changes.
C. Individuals coping with chronic illnesses are at a higher risk for depression. The ongoing stress, physical discomfort, and lifestyle changes associated with chronic illnesses can contribute to the development of depressive symptoms.
D. Depression can occur across all age groups, from children and adolescents to adults and the elderly. The manifestation of depression might vary with age, but it is a condition that affects people throughout their lifespan.
E. Depression is generally more prevalent in women than in men. Research shows that women are about twice as likely to experience depression compared to men. While men can and do experience depression, they are less frequently diagnosed with it compared to women.
Correct Answer is B
Explanation
A. This response is accusatory and invalidates the client's feelings. It's important to approach the client with empathy and understanding.
B. It shows the nurse's interest and willingness to understand the client's perspective. By asking open- ended questions, the nurse can explore the reasons behind the client's reluctance and offer support accordingly.
C. While it may be beneficial for the client to participate in activities, pressuring them or convincing them might not be effective. It's important to respect the client's feelings and work with them to find ways to overcome their reluctance.
D. This approach is directive and dismissive of the client's feelings. It's essential to involve the client in the decision-making process and address their concerns before expecting them to participate in an activity.
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