When the patient who overeats insists that weight gain is related to retained fluids, the nurse recognizes the patient is using which defense mechanism?
a. Compensation
b. Rationalization
c. Sublimation
d. Regression
ANS: B
Defense mechanisms are unconscious reactions that offer protection to the self from stressful situations. Rationalization offers a reasonable explanation for an event rather than facing reality.
You might also like to view...
98.8 ° f = _____ ° c
a. 36.1 b. 38.6 c. 39.1 d. 37.1
What should the nurse do to assist a client brought to the emergency department as a victim of a gunshot wound?
A) Ask the client who shot him. B) Bathe the client and provide a clean gown. C) Ask the client where the weapon is. D) Preserve the chain of evidence.
A patient underwent surgery 3 days ago for colorectal cancer. The patient's critical pathway states that he should participate in a teaching session with the wound ostomy nurse to learn colostomy self-care
The patient appears depressed and refuses to look at the colostomy or even make eye contact. How should the nurse proceed? 1) Postpone the teaching session until the patient is more receptive. 2) Follow the critical pathway for patient teaching 3) Administer a prescribed antidepressant and notify the physician. 4) Explain to the patient the importance of skin care around the ostomy site.
The nurse is instructing a patient who is in the third trimester of pregnancy on the difference between false and true labor contractions. What should the nurse emphasize as being characteristics of false labor contraction? (Select all that apply.)
A) False labor contractions are irregular. B) True labor contractions disappear when asleep. C) False labor contractions lead to cervical dilation. D) True labor contractions occur in the abdomen and groin. E) False labor contractions do not increase in duration, frequency, and intensity.