The client tells the nurse, "I thought my psychiatrist was the best doctor in the world. I thought he understood me completely. Now, I hate him! He doesn't understand me at all. He's just dumping me to go on a 2-week vacation."
The nurse assesses the client's description of feelings about the physician as evidence of the use of:
1. Splitting
2. Projective identification
3. Isolation of affect
4. Dissociation
ANS: 1
Splitting is the inability to synthesize the positive and negative aspects of self and others. It man-ifests as idealization and devaluation. Definitions of the other defenses listed do not fit the de-scription of behavior in the scenario.
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A decision-making process using a series of steps to make logical choices that maximizes the achievement of the objective is the:
1. Political decision-making model. 2. Experimentation process. 3. Normative decision-making model. 4. Trial-and-error method.
The nurse is caring for a client with cirrhosis of the liver. What symptoms exhibited by the client would indicate to the nurse that he is experiencing central nervous system effects of the disease? Select all that apply
A) Asterixis B) Joint stiffness C) Positive Babinski reflex D) Cough E) Fetor hepaticus
Which of the following conditions places the elderly client most at risk for drug-drug interactions?
a. The client sees just one health care provider. b. The client shares medications with friends or family. c. The client uses one pharmacy for all prescriptions. d. The client is prescribed two prescription medications.
A patient who had a cerebrovascular accident needs nursing care, physical therapy, and speech therapy. The patient's spouse would like to provide care at home but needs assistance
During the planning conference, the nurse should suggest that the agency that could best meet the patient's needs is a. a home health agency. b. the American Red Cross. c. the American Heart Association. d. a local wellness center.