A client has been admitted to the hospital with severe chest pain and has been medically diagnosed with myocardial infarction. The client tells the nurse: "I don't think this is my heart. That spaghetti I ate for lunch tasted a little strange
I think I have food poisoning." What defense mechanism is this client exhibiting? A)
Denial
B)
Identification
C)
Displacement
D)
Compensation
A
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Which of the following suggests depression?
a. impaired attention and judgment b. impaired abstract reasoning c. decreased concentration with intact memory d. impaired spatial perception
A client reports pain 8 hours after surgery. The client has already received an opioid within the past 2 hours. What is the nurse's best action?
a. Assess the pain further. b. Administer naloxone (Narcan). c. Call the surgeon. d. Document the finding.
The nurse assessing a client with a surgical wound determines that care has been effective when which of the following is assessed?
1. There is only a scant amount of purulent drainage on the dressing. 2. The client performs wound care independently. 3. A small area of erythema and edema is present. 4. The client's temperature is 100°F.
The Americans with Disabilities Act requires that employers make accommodations for disabled
employees. An operating room nurse experiences migraine headaches whenever she works more than 12 consecutive hours. What would be considered an appropriate accommodation for this nurse? A) Terminate the nurse, accommodations may not seem fair to other staff members. B) Transfer the nurse to the night shift where nurses are allowed to sleep when surgery is not scheduled. C) Transfer the nurse to the psychiatric unit where the nurses only work 8-hour shifts. D) Allow the nurse to remain in the operating room and reduce her work to shorter shifts.