A survivor of rape presents in an emergency department crying, pacing, and cursing her attacker. A nurse should recognize these client actions as which behavioral defense?
1. Controlled response pattern
2. Compounded rape reaction
3. Expressed response pattern
4. Silent rape reaction
3
Rationale: The nurse should recognize that this client is exhibiting an expressed response pattern. In the expressed response pattern, feelings of fear, anger, and anxiety are expressed through crying, sobbing, smiling, restlessness, and tension. In the controlled response pattern, the client's feelings are masked or hidden, and a calm, composed, or subdued affect is seen.
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A patient with a suspected spinal cord tumor is undergoing diagnostic testing for loss of motor function and sensation possibly related to compression of the spinal cord
In preparation for diagnostic studies, the nurse will inform the patient that the most commonly used study to diagnose spinal cord compression from a tumor is a(n): A) X-ray B) Ultrasound C) CT scan D) MRI scan
A student nurse is preparing a presentation to explain the steps in developing cultural competency. What questions should the student ask to become more aware of personal ethnocultural heritage? Select all that apply.
1. "Do you value stoic behavior?" 2. "Where were your parents and grandparents born?" 3. "What are examples of your ethnocultural life trajectories?" 4. "What do you see as seminal cultural events of your lifetime?" 5. "Which life experience stands out as an event in your heritage?"
To increase compliance of nurses maintaining clinical competency, the nursing profession could enforce all of the following EXCEPT:
A. Mandatory yearly continuing education for RN relicensure B. Ongoing certification in one's area of practice C. Institutional licensure D. Standardized entry into practice
The client asks the charge nurse how the health care provider will decide which medication to prescribe. The nurses bases the response on which rationale regarding the "ideal drug"?
1. Effectively treats, prevents, or cures the client's condition 2. Is not quickly eliminated by the body so that it can produce its effects over a prolonged period of time 3. Produces minimal adverse effects 4. Produces a rapid and predictable response 5. Is inexpensive and easily accessible