The long-term care facility nurse is assessing a newly admitted older adult who has become very active in the facility, goes to every activity, carefully makes her bed every day, does jigsaw puzzles,
and chats with tablemates at mealtime. The new resident is using the defense mechanism of:
a. projection.
b. rationalization.
c. intellectualization.
d. substitution.
ANS: D
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A school-aged child is living with a chronic disease process. How would the nurse anticipate chronic illness will effect growth and development? (Select all that apply.)
a. Delayed bonding with parents b. Delayed toilet training c. Impaired sense of belonging d. Decreased feelings of independence e. Impaired speech development
What should the nurse keep in mind when teaching an older patient about smoking cessation?
1. Most people quit smoking several times before they are successful. 2. Bupropion (Zyban) taken orally is safe for patients with seizure disorders. 3. A piece of nicotine gum should be chewed for 5 minutes of every waking hour. 4. There is no adverse risk if the patient chooses to smoke while wearing a nicotine patch.
A condition in which the normal adult hemoglobin is partly or completely replaced by abnormal hemoglobin is known as
a. Aplastic anemia b. Sickle cell anemia c. Thalassemia major d. Iron-deficiency anemia
After a course of chemotherapy for cancer of the throat, an older adult patient is admitted to the hospital with persistent nausea and vomiting. The nurse should initially assess the patient for
a. weight loss and weak gag reflex. b. anemia and poor muscle tone. c. oral inflammation and ulceration. d. dehydration and infection.