The client tells the nurse that she does not wish to see her mother-in-law during this hospitalization because she does not like her. When the client's husband and her mother-in-law visit, the client is very cordial and acts happy to see both visitors
The nurse recognizes that this client may be using which defense mechanism?
1. Reaction formation
2. Rationalization
3. Regression
4. Reparation
Correct Answer: 1
Rationale 1: Reaction formation is a mechanism that causes people to act exactly opposite to the way they feel.
Rationale 2: Rationalization is justification of behaviors by faulty logic and by ascribing socially acceptable motives to the behavior.
Rationale 3: Regression is resorting to an earlier, more comfortable level of functioning that is less demanding.
Rationale 4: Reparation is not a recognized defense mechanism.
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The nurse is explaining the difference between types of carbohydrates, stating that:
1. Simple carbohydrates are insoluble. 2. Starches dissolve in water. 3. Simple carbohydrates are made of the monosaccharides and polysaccharides. 4. Sugars are produced by both plants and animals.
The nurse is assessing a patient diagnosed with appendicitis. Which of the following signs or symptoms should the nurse expect to find?
A) Rigid abdomen, Levine's sign, pain relief leaning forward B) Rebound tenderness, McBurney's sign, low-grade fever C) Right lower-quadrant pain, Chvostek's sign, muscle guarding D) Periumbilical pain, Trousseau's sign, pain relief with pressure
Your client is sexually attracted to members of both genders. What type of sexual orientation is this?
1. heterosexual 2. homosexual 3. bisexual 4. androgynous
Which information will the nurse include in teaching a female patient who has peripheral arterial disease, type 2 diabetes, and sensory neuropathy of the feet and legs?
a. Choose flat-soled leather shoes. b. Set heating pads on a low temperature. c. Use callus remover for corns or calluses. d. Soak feet in warm water for an hour each day.