A patient admitted to an alcoholism rehabilitation program tells the nurse, "I'm actually a social drinker. I usually have one drink at lunch, two cocktails in the afternoon, wine with dinner, and a few drinks during the evening."
Which defense mechanism is evident? a. Denial
b. Projection
c. Introjection
d. Rationalization
A
Minimizing one's drinking is a form of denial of alcoholism. The patient is more than a social drinker. Projection involves blaming another for one's faults or problems. Rationalization involves making excuses. Introjection involves incorporating a quality of another person or group into one's own personality.
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The nurse would teach the adolescent with a conversion disorder what the person "gets" from having the disorder. This explanation would include a discussion of:
1. Preoccupation with the belief that the person has a serious disease without physical evidence. 2. Primary and secondary gains. 3. An overreaction by caregivers to the client's somatic complaints. 4. A pain cure.
What would the nurse assess for when benzodiazepines are abruptly stopped?
A) Urinary retention and change in sexual functioning B) Dry mouth, constipation, nausea, and vomiting C) Nausea, headache, vertigo, malaise, and nightmares D) In most cases nothing significant
A child has been bitten by an animal that is suspected of having rabies. The physician orders Human Rabies Immune Globulin. The pediatric nurse is aware that the appropriate dose for a child is:
A) 10 IU/kg body weight. B) 15 IU/kg body weight. C) 20 IU/kg body weight. D) 30 IU/kg body weight.
A 62-year-old woman is being seen for a routine physical exam and states, "I've really slowed down this year; I'm feeling my age." Which of the following comments by the nurse is most appropriate?
a. "Mild diabetes often develops with age; I'll see if the doctor wants me to check your blood sugar." b. "Aging causes the basal metabolic rate to change, and it's often normal to have less energy, but you should still mention it to the doctor." c. "You're probably feeling tired because your body increases the release of growth hormone as you age." d. "A decrease in parathyroid hormone secretion occurs with age, and that can make you feel tired. The doctor may want to check your calcium levels."