A client has a history of excessive drinking, which has led to ...

[serike]

A client has a history of excessive drinking, which has led to multiple arrests for driving under the influence (DUI). The client states, I work hard to provide for my family. I don't see why I can't drink to relax.
 
  The nurse recognizes the use of which defense mechanism? A. Projection
  B. Rationalization
  C. Regression
  D. Sublimation

Question 2

A nurse is assessing 15-year-old identical twins who respond very differently to stress. One twin becomes anxious and irritable, while the other withdraws and cries. How should the nurse explain these different responses to stress to the parents?
 
  A. Reactions to stress are relative rather than absolute; individual responses to stress vary.
  B. It is abnormal for identical twins to react differently to similar stressors.
  C. Identical twins should share the same temperament and respond similarly to stress.
  D. Environmental influences weigh more heavily than genetic influences on reactions to stress.

[gcook]

Answer to Question 1

B
The nurse should recognize that the client is using rationalization, a common defense mechanism. The client is attempting to make excuses and create logical reasons to justify unacceptable feelings or behaviors.

Answer to Question 2

A
Responses to stress are variable among individuals and may be influenced by perception, past experience, and environmental factors in addition to genetic factors.

[serike]

Wow, this really help

[kjohnson]

Thanks for the timely response, appreciate it