A student goes to a party the night before a test and then fails the exam
After seeing the score, the student slams a book on the table and says, "I have to work so much and have no time to study. It wouldn't matter anyway because the teacher is unreasonable." The nurse identifies use of which defense mechanisms? Select all that apply.
a. Denial
b. Compensation
c. Rationalization
d. Projection
e. Displacement
f. Reaction formation
C, D, E
The student slams down the book, displacing anger, rationalizes (makes excuses), and projects blame onto the teacher. Compensation involves making up for a perceived weakness by emphasizing a desirable trait. Projection refers to blaming others or attributing unacceptable thoughts or behaviors to others. Reaction formation involves doing the opposite of an unacceptable desire.
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A patient is being discharged home with a prescription for sublingual nitroglycerin. The nurse will instruct the patient and family to
A) keep the medication in the refrigerator. B) transfer the tablets to a clear bottle. C) keep the tablets in the original dark bottle. D) discard the tablets if over a month old.
An adult patient has suffered a respiratory arrest and requires endotracheal intubation. The nurse should obtain which equipment for this procedure?
1. Topical anesthetic 2. Magill forceps 3. Cuffless endotracheal tube (ET) 4. Oxygen cannula 5. Water-soluble lubricant
A child is admitted to the hospital with the diagnosis of laryngotracheobronchitis (LTB). The nurse should be prepared to:
1. Administer nebulized epinephrine and oral or IM dexamethasone. 2. Administer antibiotics and assist with possible intubation. 3. Swab the throat for a throat culture. 4. Obtain a sputum specimen.
The perinatal nurse is describing the process of engagement to a group of prospective first-time parents in a prenatal class. In primigravidas, the usual time for engagement to occur prior to the time of labor and birth is:
A) 2 weeks B) 4 weeks C) 6 weeks D) 8 weeks