16 The PN is caring for a patient who has received a diagnosis of a terminal illness recently. When the PN checks on the patient during meal time, he finds that the patient has slammed his food tray against the wall in anger.
What ego defense mechanism is this an example of?
A. regression
B. sublimation
C. projection
D. displacement
The PN is caring for a patient who had been the family breadwinner with a wife and multiple children prior to an accident that has left the patient bedridden.
Which of these would indicate that the patient has not yet adapted to this situational role change?
A. The patient comments that eventually he will be able to return home and be present for his family.
B. The patient notes that his spouse has always been capable of caring for the majority of the children's needs.
C. The patient sets a realistic goal of when he will return to work.
D. The patient refuses the majority of assistance in an attempt to maintain control.
The PN is caring for a patient who has a history of exhibiting inappropriate and dangerous behavior in brief episodes. The PN is asked to suggest ways to adapt that patient's care plan to prevent these episodes.
Which of the following is not an appropriate suggestion?
A. Allow the patient to participate in physical exercise to help decrease the patient's stress.
B. Promote appropriate socialization to make sure the patient is having enough personal interaction.
C. Change the patient's schedule daily to help the patient adjust to unexpected changes.
D. Ensure the patient has the same bedtime to promote adequate sleep.
The PN is selecting a meal from the cart for a pediatric Jewish patient who follows a kosher diet. Which of these meals would be most appropriate for the patient?
A. pepperoni pizza slice
B. salmon and broccoli
C. shrimp tacos and chips
D. cheeseburger and side salad
On a Thursday, the PN is caring for an inpatient who identifies as a Seventh Day Adventist. The patient is scheduled for a minor invasive procedure on Saturday.
Which of these is the most appropriate action?
A. Ask the patient if he has any specific beliefs or restrictions on the Sabbath.
B. Move forward with the procedure without question.
C. Reschedule the procedure for Friday.
D. Reschedule the procedure for Sunday.
The PN is caring for an American-Indian male. While explaining an upcoming procedure, the patient stares at the floor.
Which of these is the most accurate assumption concerning this patient behavior?
A. The patient is being respectful of the nurse.
B. The patient needs a nurse of a different gender to explain the procedure.
C. The patient is showing that they do not consent to the procedure.
D. The patient is not paying attention.
A nurse observes a client sitting alone and talking. When asked, the client reports that he is "talking to the voices."
The nurse's next action should be __________.
A. touching the client to help him return to reality
B. leaving the client alone until reality returns
C. asking the client to describe what is happening
D. telling the client there are no voices
A nurse observes a client sitting alone and talking. When asked, the client reports that he is "talking to the voices."
The nurse's next action should be __________.
A. touching the client to help him return to reality
B. leaving the client alone until reality returns
C. asking the client to describe what is happening D. telling the client there are no voices
A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin.
The nurse should base her reply on the knowledge that __________.
A. the client's body has developed tolerance, requiring more drug to produce the same effect.
B. the client is preoccupied with getting the drug and is experiencing loss of control, indicating drug dependence.
C. addiction is the term used to describe physical dependence with withdrawal symptoms and tolerance.
D. the client has a dual diagnosis of substance abuse and chronic back pain.
A woman asks, "How much alcohol can I safely drink while pregnant?"
The nurse's best response is __________.
A. "The amount of alcohol that is safe during pregnancy is unknown."
B. "Consuming one or two beers or glasses of wine a day is considered safe for a healthy pregnant woman."
C. "Drinking three or more drinks on any given occasion is the only harmful type of drinking during pregnancy."
D. "You can have a drink to help you relax and get to sleep at night."
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