A client has just been physically abused by his or her partner. He or she is in the examining room crying softly, rocking, and sucking his or her thumb. The nurse identifies this behavior as possible:
A) Compensation
B) Intellectualization
C) Regression
D) Denial
C
You might also like to view...
In caring for a client in skeletal traction with a nursing diagnosis of Risk for Injury related to traction, the nurse should take special care to
a. carefully inspect pin sites every other day to assess for pin site infection. b. encourage the client to assume a position of comfort to reduce the risk of pressure ulcers. c. knot ropes between the client and pulley to prevent weights from touching the floor. d. position weight ropes to ensure that the weights hang freely from pulleys.
An older patient is admitted to the hospital with an acute onset of mental changes and recent falls. The nurse knows that the most common cause of mental changes is
a. hypoxia. b. infection. c. cerebrovascular accident. d. electrolyte imbalance.
A male patient is having difficulty using the urinal in bed. What does the nurse do to facilitate voiding into the urinal?
a. Applies an external urinary catheter b. Assists the patient to the upright position c. Encourages the patient to void every hour d. Instructs the patient to increase his fluid intake
A nurse is formulating the diagnostic statement for a client who had a motor vehicle accident. The healthcare facility where the nurse is employed uses a three-part diagnostic statement on the electronic medical record. The client has bruises in the anterior chest and is unable to move independently when sitting up or lying down. Which is the best example of a correct diagnostic statement?
A) Impaired mobility of anterior chest related to bruises and swelling AEB motor vehicle accident B) Impaired mobility of anterior chest related to the motor vehicle accident AEB bruises and swelling C) Impaired mobility of anterior chest AEB bruises and swelling D) Impaired movement of the anterior chest related to the motor vehicle accident