A fellow nurse was confronted by the pharmacist about a medication error that was detected in the automated dispensing device
The medication administered to a client receiving palliative care may have caused an earlier death since the medication significantly decreases the client's respiratory rate when given at the administered dose. Which of the following statements by the nurse displays the use of rationalization?
A) "Thank you for pointing this error out. I will fill out an incident report immediately."
B) "Please don't tell my supervisor. She will put me on probation if she knows this information."
C) "I didn't think I needed to disclose this error since the patient is going to die anyway."
D) "Are you sure I made this error? I can't recall this incident."
Ans: C
Rationalization is when one avoids anxiety by explaining an unacceptable or disappointing behavior or feeling in a logical, rationale way. Rationalization may protect self-esteem and self-concept. Suppression reduces anxiety by intentionally avoiding thinking about disturbing problems, wishes, feelings, or experiences. It is useful in many situations such as test-taking situations. Denial avoids feelings associated with recognizing a problem.
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