A newly graduated LPN/LVN who is orienting to the unit tells a peer, "You should have seen that new associate degree RN trying to take care of three patients! She was so disorganized that it made me glad I'm an LPN/LVN." The LPN/LVN is demonstrating
a. manipulation.
b. assertiveness.
c. projection.
d. passiveness.
ANS: C
Projection is a coping mechanism that allows the individual to unconsciously attribute their own weaknesses to others.
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A client is newly diagnosed with dissociative identity disorder. To support this client, who is struggling to accept the diagnosis, the nurse would:
1. Flood the client with stressful stimuli. 2. Actively listen to each identity state and provide support. 3. Assess for secondary gain to confront the client. 4. Discourage the use of psychometric tests.
Immediately after the death of a patient, family members should be
A) escorted to a private area. B) allowed to spend time with the deceased. C) asked what they want to do. D) consoled by the hospital chaplain.
A nurse is frequently absent on Fridays. The nurse phones and reports as sick, but the manager discovers that the absences are due to child care issues. How should the manager document this on the critical incident form?
1. Voluntary absence on multiple Fridays due to child care issues 2. Absence frequency on Fridays 3. Total time lost includes Fridays 4. Involuntarily absent due to family circumstances
A patient with myasthenia gravis has been on cholinesterase inhibitor therapy. The patient reports on occasion that she has some difficulty swallowing and periods of fatigue
The patient asks, "What can be done to remedy this?" The nurse's best response would be a. "You are already on a high dosage of the drug. You will have to cope with these symptoms." b. "This could mean that the dosage is too high and you should skip every other dose." c. "Let's discuss some strategies to help you learn to self-adjust the dose in response to your symptoms." d. "You are developing tolerance to the drug and will need to change to a different class of agents."