A patient who has survived a motor vehicle accident has just learned that the passenger in the car has died. The survivor is unable to recall being in the car. The nurse on duty realizes that this is:
A) Dissociation
B) Denial
C) Regression
D) Transference
ANS: A
Dissociation occurs when painful events or situations are separated from the conscious mind.
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The client's chart indicates a sensorineural hearing loss. What assessment question does the nurse ask to determine the possible cause?
a. "Do you feel like something is in your ear?" b. "Do you have frequent ear infections?" c. "Have you been exposed to loud noises?" d. "Have you been told your ear bones don't move?"
The nurse assists a patient with oral care. The patient is 1 day postoperative after nasal recon-struction. Which is the most important intervention for the nurse to implement to maintain inte-grity of the oral cavity?
a. Scrape the tongue to remove thick secre-tions. b. Instruct the patient to use a fluoride mouthwash. c. Teach the patient to brush the teeth twice daily. d. Assist the patient to maintain adequate hydration.
A patient undergoing chemotherapy for a brain tumor believes that having a good attitude will help in the healing process. This is an example of what type of knowledge?
A) science B) philosophy C) process D) virtue
The nurse caring for a newly admitted client is reviewing the medication prescription sheet in preparation for administering medications to the client
The nurse notes that the physician has prescribed a medication dose that is twice the amount that the client has reported taking prior to admission. The most appropriate nursing action is to: 1. Contact the physician directly. 2. Administer the medication as prescribed. 3. #the client regarding the accuracy of the reported dosage. 4. Ask the physician about the prescription the next time the physician makes rounds.