Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A charge nurse is educating a newly licensed nurse about various defense mechanisms. Which of the following examples should the charge nurse provide when discussing rationalization?
A. A client who has stomach pain before presenting a project to his coworkers.
B. A client whose partner died 5 years ago still talks about him in the present tense.
C. A client who states she will worry about her grades after she finishes planning a party.
D. A client who states she did not get a promotion because her boss dislikes her.
Rationalization is a defense mechanism that involves making excuses or justifying one's behavior or failures. The client who blames their boss for not getting a promotion is using rationalization to avoid accepting responsibility or acknowledging their shortcomings. The other examples are not related to rationalization, but to other defense mechanisms, such as somatization, denial, and procrastination.
This question is an excerpt from Nurse Dive's nursing test bank - RN Mental Health 2019 With NGN Proctored Exam. Take the full exam now
Full Explanation
Rationalization is a defense mechanism that involves making excuses or justifying one's behavior or failures. The client who blames their boss for not getting a promotion is using rationalization to avoid accepting responsibility or acknowledging their shortcomings. The other examples are not related to rationalization, but to other defense mechanisms, such as somatization, denial, and procrastination.
Similar Questions
A home health nurse visits a client who lost their partner 2 years ago. Which of the following behaviors by the client indicates a maladaptive grief response?
A. The client gives away some of the partner's belongings.
B. The client expresses feelings of guilt.
C. The client relocates from a house to an apartment.
D. The client is unable to perform basic hygiene tasks.
A maladaptive grief response is one that interferes with normal functioning or causes significant distress for the bereaved person. The client who is unable to perform basic hygiene tasks is showing signs of depression and impaired self-care, which indicate a maladaptive grief response. The other behaviors are not necessarily maladaptive, but may reflect normal coping strategies or adjustments after losing a partner.
Full Explanation
A maladaptive grief response is one that interferes with normal functioning or causes significant distress for the bereaved person. The client who is unable to perform basic hygiene tasks is showing signs of depression and impaired self-care, which indicate a maladaptive grief response. The other behaviors are not necessarily maladaptive, but may reflect normal coping strategies or adjustments after losing a partner.
A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?
A. Justice
B. Veracity
C. Autonomy
Autonomy is the ethical principle that respects the right of individuals to make their own decisions, even if they are not in their best interest. The nurse is displaying autonomy when he supports the client's refusal of medications, even though he might disagree with the client's choice.
D. Beneficence
Full Explanation
Autonomy is the ethical principle that respects the right of individuals to make their own decisions, even if they are not in their best interest. The nurse displays autonomy when he supports the client's refusal of medications, even though he might disagree with the client's choice.
A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?
A. Oxygen saturation
B. Blood pressure
Phenelzine is a monoamine oxidase inhibitor (MAOI) that can cause a hypertensive crisis if taken with foods that contain tyramine, such as pepperoni pizza. The nurse should assess the client's blood pressure to monitor for signs of hypertension, such as headache, chest pain, or blurred vision.
C. Pupil response
D. Bowel sounds
Full Explanation
Phenelzine is a monoamine oxidase inhibitor (MAOI) that can cause a hypertensive crisis if taken with foods that contain tyramine, such as pepperoni pizza. The nurse should assess the client's blood pressure to monitor for signs of hypertension, such as headache, chest pain, or blurred vision.