A 4-year-old boy has been admitted to the hospital with pneumonia. He has been in the hospital for 3 days and has suddenly started to become incontinent of urine. The nurse knows that this is most likely a result of what ego-defense mechanism?
a. Compensation
b. Conversion
c. Denial
d. Regression
D
Regression is coping with a stressor through actions and behaviors associated with an earlier developmental period. Compensation is making up for a deficiency in one aspect of self-image by strongly emphasizing a feature considered an asset. Conversion is unconsciously repressing an anxiety-producing emotional conflict and transforming it into nonorganic symptoms (e.g., difficulty sleeping, loss of appetite). Denial is avoiding emotional conflicts by refusing to consciously acknowledge anything that causes intolerable emotional pain.
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A group of nurses is discussing various types of psychotherapy. What do they identify as universal practice principles among the different theories and methodologies? Select all that apply
1. Establishing goals 2. Using effective medications 3. Establishing a treatment time frame 4. Determining behavioral objectives 5. Establishing a therapeutic alliance
Which of the following symptoms would lead the health care provider to assess the patient re-ceiving digoxin (Lanoxin) for evidence of toxicity?
a. Anorexia and nausea b. Headache and abdominal cramping c. Drowsiness and fatigue d. Gynecomastia and disturbed color vision
The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:
a. P wave. b. QRS complex. c. PR interval. d. T wave.
The nurse is using the Simple Triage and Rapid Treatment (START) system to triage patients brought to the hospital after a tornado. Which triage designation has the nurse correctly assigned?
1. Red tag for a 67-year-old male complaining of chest pain; heart rate 120 beats/min, blood pressure 100/68 mmHg, respiratory rate 20 breaths/min 2. Red tag for a 27-year-old woman presenting with a respiratory rate of 36 breaths/min and capillary refill of 4 seconds 3. Yellow tag for a 58-year-old woman able to walk on her own and saying over and over, "I don't know what happened" 4. Red tag for a 30-year-old male with multiple chest trauma; respiratory effort minimal after airway is opened; carotid pulse faint