When under stress, a client routinely uses an excessive amount of alcohol. Finding her drunk, her husband yells at her about the chronic alcohol abuse. Which reaction should the nurse recognize as the use of the defense mechanism of denial?

Correct Answer: D

Rationale: The correct answer is D because the client is using denial as a defense mechanism to cope with the stress of being confronted about her alcohol abuse. By saying "I don't drink too much," she is refusing to acknowledge the reality of her excessive alcohol consumption. This denial allows her to avoid facing the uncomfortable truth and the need for change. A: Hiding liquor bottles in a closet is an example of a defense mechanism called displacement, not denial. B: Yelling at their son for slouching in his chair is an example of a defense mechanism called projection, not denial. C: Burning dinner on purpose is an example of a defense mechanism called passive-aggression, not denial.

Correct Answer: C

Rationale: The correct answer is C because repression is a defense mechanism in which traumatic memories are unconsciously blocked from awareness. In this scenario, the woman's inability to remember the rape incident at age 12 is a classic example of repression. She has pushed the memory out of consciousness to avoid the emotional distress associated with it. Choice A is incorrect as it describes denial, where the woman refuses to accept the truth. Choice B is incorrect as it reflects sublimation, where the man channels his unhappiness into a positive pursuit. Choice D is incomplete, making it impossible to evaluate.

Correct Answer: B

Rationale: In Erikson's theory, the developmental task for a 47-year-old client aligns with the stage of Generativity vs. Stagnation. Choice B, reflecting on life events for pleasure and meaning, corresponds to this stage where individuals assess their accomplishments and seek fulfillment. This phase involves contributing to society and future generations. Choice A pertains to the earlier stage of Identity vs. Role Confusion in adolescence. Choice C aligns with the later stage of Integrity vs. Despair in older adulthood. Choice D is incomplete. Therefore, the correct answer is B as it best fits the age and developmental stage of the client in question.

Correct Answer: D

Rationale: The correct answer is D: The role of leader. In Peplau's framework, the nurse in this scenario is assuming the therapeutic role of a leader because they are directing client interactions and planning interventions to achieve client goals. This role involves guiding and facilitating the therapeutic process, fostering a collaborative relationship with the client, and empowering them to make decisions and progress towards their goals. A: The role of technical expert is incorrect because it focuses more on providing specialized knowledge and skills rather than leading and directing client interactions. B: The role of resource person is incorrect as it typically involves providing information and support, but not necessarily directing client interactions and planning interventions. C: The role of teacher is incorrect because while education and guidance are important in nursing, it does not fully capture the leadership and direction involved in the scenario described.

Correct Answer: C

Rationale: The correct answer is C: Phallic stage. In Freud's psychosexual stages of development, the phallic stage occurs around ages 3 to 6. During this stage, children become curious about their own bodies and those of others. The boy exploring his sister's genitalia is displaying normal curiosity associated with this stage. The Oedipus complex and Electra complex also occur during this stage, where children develop feelings towards the opposite-sex parent. Choices A, B, and D do not align with the behaviors described in the scenario and are associated with different stages of development (oral, anal, and latency).