According to psychoanalytic theory, treatment of symptoms should involve which nursing action?
A. Modifying client behaviors by manipulating the environment
B. Expressing empathy and presenting reality
C. Encouraging the client to note cause and effects of actions
D. Recognizing and discussing the client's use of ego defense mechanisms
ANS: D
From a psychoanalytic perspective, understanding the use of ego defense mechanisms is important in making determinations about maladaptive behaviors, in planning care for clients to assist in creating change, or in helping clients accept themselves as unique individuals.
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The nurse is taking a health history from the family of a three-year-old child. Which statement or question by the nurse would be most likely to establish rapport and elicit an accurate response from the family?
1. "Tell me about the concerns that brought you to the clinic today." 2. "Does any member of your family have a history of asthma, heart disease, or diabetes?" 3. "Hello, I would like to talk with you and get some information about you and your child." 4. "You will need to fill out these forms; make sure that the information is as complete as possible."
The nurse is caring for a client on a medical-surgical unit that has just implemented the electronic medical record for client documentation
The client asks the nurse about the facility's computerized system for keeping client information, especially in regard to confidentiality. Which is the best response by the nurse? A) "I can see why you're worried, with all the computer hackers out there these days." B) "Our system was designed with a lot of input from nursing staff." C) "Information in the electronic medical record requires a password to retrieve." D) "Don't worry; your information is always safe."
Which patient has the greatest risk for overdose with a benzodiazepine? A patient who
a. takes the drug with antacids. b. takes the drug before meals. c. combines the drug with alcohol. d. experiences depression as well as anxiety.
A nurse documents the following on a client chart: "client manifests difficulties with spatial orientation, memory language, and changes in personality." What state of arousal/awareness does this describe?
A) Delirium B) Dementia C) Confusion D) Locked-in syndrome