Mental Health Question #27


A client newly diagnosed with hypertension and hyperlipidemia is instructed on low sodium and nutrition changes. After the instruction, the client stated, “I can’t possibly be expected to remember how or what foods to change”. The nurse recognized the response is most likely related to which factor?


  1. Anger at the need to change.
    • Rationale:
  2. Moderate to severe anxiety.
    • Rationale:
  3. Rationalization.
    • Rationale:
  4. Projection.
    • Rationale:



Anxiety interferes with learning and memory. The client has two diagnoses that may require life-changing habits, and may feel anxiety surrounding the diagnoses, medications, diet, and how life will be managed. The other options are incorrect since the client’s response does not appear angry and the client is not utilizing rationalization or projection in the statement.

Learning Outcomes

Test Taking Tip

Video Rationale