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Practice Question

The nurse is assessing the drinking history of a client with a history of alcohol abuse. The client is being admitted after being found unresponsive in a public place. Which statement would indicate the use of defense mechanisms?

Answer Choices:

Correct Answer:

I don't really have a problem with alcohol. I've just been having a streak of bad luck lately."

Rationale:

💠 Denial & rationalization: This statement reflects defense mechanisms where the client denies the severity of alcohol abuse and rationalizes it by blaming external circumstances ("bad luck").

💠 Common in addiction: Individuals with substance abuse issues often use denial or rationalization to avoid confronting reality and reduce feelings of guilt or shame.

💠 Blocks recovery: Such mechanisms prevent self-awareness and delay acceptance of treatment.

💠 Nursing approach: The nurse should use therapeutic communication to gradually help the client acknowledge the problem.

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This question is from ATI LPN Mental Health level 4 test I which contains 39 questions.

More Questions from This Exam
A nurse is caring for a client who has depressive disorder, is in alcohol withdrawal, and reports a recent job loss. Which of the following should be the priority nursing intervention?

Answer Choices:

A. Refer client to mental health care provider for evaluation and treatment.
B. Assist the client to identify negative effects of chemical dependency.
C. Identify support groups in the community for long-term treatment.
D. Determine the presence and degree of suicidal risk.
A nurse manager is reviewing a recent client report related to a staff nurse. Which of the following behaviors by a nurse at work might be red flags for a substance use disorder?

Answer Choices:

A. Increased irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings.
B. Crying, sharing personal details of relationship problems, monopolizing conversations.
C. Volunteering for overtime on a continual basis, avoiding having a witness to wasting narcotics, needing to be alone in the medication room when preparing medications.
D. Increased cheerfulness, increased energy, helping other nurses on the shift.
A nurse is caring for a client with whom he has developed a therapeutic relationship and who will be discharged later in the day. The client thanks the nurse for his help during the hospitalization. Which of the following responses should the nurse make?

Answer Choices:

A. "I will send you a note in a few weeks."
B. "I know you will do well living out in the community."
C. "Aren't you excited about being discharged today?"
D. "How do you feel about being discharged?"
From Exam
ATI LPN Mental Health level 4 test I

39 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Mental Health
  • Answer Choices: 4
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