A. A client who recently was diagnosed as having myelocytic leukemia discusses the diagnosis by referring to statistics, facts, and figures. The nurse recognizes that the client is using the defense mechanism known as:
1. Projection
2. Sublimation
3. Intellectualization
4. Reaction formation
B. A client with newly diagnosed multiple myeloma, being treated with chemotherapy, asks, "How long do you think I have to live?" The most appropriate response by the nurse would be:
1. "Let me ask your physician for you."
2. "I can understand why you are worried."
3. "Tell me about your concerns right now."
4. "It depends on whether the tumor has spread."
C. A male client with a parotid tumor tells the nurse that he is anxious to undergo surgery to remove the tumor. He states that he is not too sure about delaying surgery until preoperative radiotherapy is completed. The best response by the nurse would be:
1. "You are concerned about the delay of surgery?"
2. "You are anxious about the effects of radiotherapy?"
3. "I think you do not have confidence in the doctor's decision."
4. "I can understand your anxiety concerning the delay of surgery."
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These came from Mosby's review CD.
A-3 Intellectualization is the use of reasoning and thought processes to avoid the emotional aspects of a situation; this is a defense against anxiety.
B-3 This response encourages the client to review facts and provides an opportunity to talk feelings.
C-1 Reflection of the client's statement will enhance further communication.
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