When under stress, a client routinely uses alcohol to excess. ...

[roselinechinyere27m]

When under stress, a client routinely uses alcohol to excess. Finding her drunk, her husband yells at the client about her chronic alcohol abuse. Which action alerts the nurse to the client's use of the defense mechanism of denial?
 
  1. The client hides liquor bottles in a closet.
  2. The client yells at her son for slouching in his chair.
  3. The client burns dinner on purpose.
  4. The client says to the spouse, I don't drink too much

Question 2

A nurse assesses a client suspected of having the diagnosis of major depressive episode. Which client symptom would rule out this diagnosis?
 
  1. The client is disheveled and malodorous.
  2. The client refuses to interact with others and isolates self in room.
  3. The client is unable to feel any pleasure.
  4. The client has maxed-out charge cards and exhibits promiscuous behaviors.

[aadams68]

Answer to Question 1

4
Rationale: The client's statement I don't drink too much alerts the nurse to the use of the defense mechanism of denial. The client is refusing to acknowledge the existence of a real situation and the feelings associated with it.

Answer to Question 2

4
Rationale: The nurse should assess that a client who has maxed-out credit cards and exhibits promiscuous behavior is exhibiting signs of mania. The DSM-5 criteria state that there must never have been a manic episode or a hypomanic episode to meet the criteria for the diagnosis of major depressive episode.