Which patient diagnosis and behavior should lead a nurse to conclude the patient is using the defense mechanism of denial?
a. A patient with emphysema continues to smoke.
b. A patient with diabetes mellitus uses a sugar substitute.
c. A patient with a drug problem blames his mother for his habit.
d. A patient with osteoarthritis angrily kicks the steps that he cannot climb.
A
The patient with emphysema is an example of denial, the patient with diabetes is an example of an adaptive response, the patient with a drug problem is an example of projection, and the patient with osteoarthritis is an example of regression.
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The nurse can assist a child who has a mild hearing loss and reads lips to adapt to hospitalization by:
1. Touching the child lightly before speaking. 2. Using a picture board as the main means of communication. 3. Speaking in a loud voice while facing the child. 4. Speaking directly to the parents for communication.
While assessing a dark-skinned patient at the clinic, the nurse notes the presence of patchy, milky white spots. The nurse knows that this finding is characteristic of what diagnosis?
A) Cyanosis B) Addison's disease C) Polycythemia D) Vitiligo
The nurse explains to a client that drugs that activate beta 2-adrenergic receptors:
1. relax bronchiolar smooth muscle. 2. result in airway diameter narrowing. 3. increase labored breathing 4. decrease production of viscous secretions.
The nurse is reviewing causes of increased intraocular pressure. Which of these factors determines intraocular pressure?
a. Thickness or bulging of the lens b. Posterior chamber as it accommodates increased fluid c. Contraction of the ciliary body in response to the aqueous within the eye d. Amount of aqueous produced and resistance to its outflow at the angle of the anterior chamber