The patient yells at the nurse right after having a stressful conversation with his spouse. What defense mechanism is the patient most likely using? ________________
ANS:
Displacement
In displacement, feelings are transferred to a less threatening object.
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The school nurse is teaching a class of 10th graders about noise-induced hearing loss. Which of the following concepts regarding this type of hearing loss is correct?
A) It results from exposure to noise levels above 150 decibels. B) The pathological process involved in noise-induced hearing loss is rupture of the ossicles in the middle ear. C) Noise-induced hearing loss is reversible because specific medications can improve or restore hearing. D) Loud, low-frequency sound, such as that made by a base guitar, is more damaging than high-frequency sound.
While evaluating a client's electrocardiogram (ECG) before surgery, the preoperative nurse identifies large, wide Q waves. What is the nurse's best interpretation of this finding?
a. An acute myocardial infarction is occur-ring. b. The client had a myocardial infarction in the past. c. The ventricles are enlarged and failing. d. The ECG is a common variation of normal sinus rhythm.
The nurse interviewing an older adult for a nursing history recognizes that the client is experiencing symptomology inconsistent with normal aging of the urinary tract when the client reports: Select all that apply
a. finding it more difficult in the last few months to start voiding b. having two bladder infections in the last 4 years c. getting up once or twice each night to urinate d. occasionally experiencing pain when urinating e. needing to urinate every at least every two hours during the day
Which information about a patient who had a stapedotomy yesterday is most important for the nurse to communicate to the health care provider?
a. The patient complains of "fullness" in the ear. b. The patient's oral temperature is 100.8° F (38.1° C). c. The patient says "My hearing is worse now than it was right after surgery." d. There is a small amount of dried bloody drainage on the patient's dressing.