Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A client states, "I know I'm going to fail this test, so why even study?" The nurse recognizes this as an example of which defense mechanism?
A. Rationalization
Rationalization involves the client justifying not studying by creating a logical reason ("I’m going to fail anyway") to avoid the anxiety of failure.
B. Denial
Denial involves refusing to accept reality, which is different from this statement.
C. Projection
Projection is attributing one’s own feelings to others, which is not shown here.
D. Regression
Regression involves reverting to earlier behaviors, which is not demonstrated in this example.
This question is an excerpt from Nurse Dive's nursing test bank - Ati fundamentals med surg mid term proctored exam. Take the full exam now
Full Explanation
A. Rationalization involves the client justifying not studying by creating a logical reason ("I’m going to fail anyway") to avoid the anxiety of failure.
B. Denial involves refusing to accept reality, which is different from this statement.
C. Projection is attributing one’s own feelings to others, which is not shown here.
D. Regression involves reverting to earlier behaviors, which is not demonstrated in this example.
Similar Questions
A nurse is planning care for a client who follows folk care medical treatments. What is the nurse's priority action?
A. Report the client used to folk medicine to the healthcare team
Reporting without assessment may damage trust and overlooks culturally sensitive care.
B. Educate decline about the dangers of folk remedies
Educating about dangers is important but should be done after understanding the client’s beliefs.
C. Ignore the client's beliefs to avoid encouraging unsafe practices
Ignoring beliefs can alienate the client and harm therapeutic rapport.
D. Assess the client's beliefs and practices and integrate safe practices into care
Assessing the client’s beliefs and practices and integrating safe practices into care respects cultural values while ensuring safety and individualized care.
Full Explanation
A. Reporting without assessment may damage trust and overlooks culturally sensitive care.
B. Educating about dangers is important but should be done after understanding the client’s beliefs.
C. Ignoring beliefs can alienate the client and harm therapeutic rapport.
D. Assessing the client’s beliefs and practices and integrating safe practices into care respects cultural values while ensuring safety and individualized care.
Using personal cell phones for non-work-related activities during client care is:
A. Prohibited as it distracts from client care and may violate professional boundaries
Personal cell phone use during care can lead to distractions, compromise patient safety, and breach professionalism.
B. Required when other communication tools are unavailable
Personal phones should not replace approved communication tools even if others are unavailable.
C. Encouraged to help reduce workplace stress
Using phones for stress relief during care is inappropriate and unprofessional.
D. Acceptable as long as no personal health information is shared
Avoiding sharing personal health information does not justify personal phone use during client care.
Full Explanation
A. Personal cell phone use during care can lead to distractions, compromise patient safety, and breach professionalism.
B. Personal phones should not replace approved communication tools even if others are unavailable.
C. Using phones for stress relief during care is inappropriate and unprofessional.
D. Avoiding sharing personal health information does not justify personal phone use during client care.
When using computer-mediated communication in healthcare, the nurse should:
A. Always use medical jargon to demonstrate professionalism
Using excessive medical jargon can confuse recipients and reduce clarity.
B. Ensure confidentiality and follow HIPAA guidelines
Protecting patient information in all forms of communication is essential for legal and ethical practice.
C. Use emojis to clarify the message tone
Emojis are generally unprofessional and can be misinterpreted in healthcare communication.
D. Assume tone is easily conveyed through text
Tone is often difficult to convey in text; assumptions can lead to misunderstandings. Nurses should be clear and precise to avoid miscommunication.
Full Explanation
A. Using excessive medical jargon can confuse recipients and reduce clarity.
B. Protecting patient information in all forms of communication is essential for legal and ethical practice.
C. Emojis are generally unprofessional and can be misinterpreted in healthcare communication.
D. Tone is often difficult to convey in text; assumptions can lead to misunderstandings. Nurses should be clear and precise to avoid miscommunication.