A nurse is discharging a patient with a pulmonary disorder to return home with her family. She has had a difficult time while in the hospital and has experienced withdrawal from tobacco
When the nurse tells her that community resources are available to help her to stop smoking, she says, "That's OK. I can stop whenever I want to." What does this exemplify? a. Rationalization
b. Denial
c. Intellectualization
d. Projection
B
Denial is a common defense mechanism used by substance abusers.
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Which of the following depicts the best use of virtual worlds in the education of nurses?
1. The virtual world can simulate hospital life. 2. Virtual worlds offer students answers to NCLEX-RN® style questions. 3. Virtual worlds offer synchronous interaction with patients. 4. Virtual worlds are too expensive for classroom use.
In counseling a client who is considering a heart transplant, the nurse would know the client has an accurate perception of this treatment option when the client says
a. "Less than half of those who survive a heart transplant live 10 years." b. "People under 75 years of age may have a heart transplant." c. "The survival rate for patients having a heart transplant is about 80%." d. "This is an experimental treatment, but I want to take the chance."
The nurse is caring for a patient who is on strict isolation. Which statement indicates a break in technique?
a. Isolation supplies (gowns, masks, gloves) are placed inside the patient's room. b. The nurse washes her hands before applying cap, gown, and mask. c. Soiled linens are double-bagged. d. When leaving the patient's room, the nurse washes her hands for 10 minutes after removing gloves, mask, gown, and cap.
What is a risk factor for older patients taking frequent doses of antacids with aluminum?
A) Reduced absorption of phosphorus and fluoride and increased calcium excretion B) Reduced absorption and increased intestinal elimination of phosphate C) Sodium overload and water retention D) Increased potassium and magnesium excretion