Freud identified a number of defense mechanisms. It is evident that the nurse recognizes one of these common defense mechanisms for a client with dissociative identity disorder when the nurse charts that the client has used:

1. Denial.
2. Fixation.
3. Repression.
4. Rationalization.


3
Rationale: Repression explains the loss of conscious awareness in dissociation. Fixation is not completing developmental tasks in earlier stages of development. Rationalization is making excuses. Denial is lack of acknowledging.

Nursing

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A staff RN has been struggling with the delivery system from Central Supply. He documents a delay of 1 to 3 hours from the time that the order is sent to Central Supply to the time that the requested equipment is sent to the floor

The RN asks, "Why does a Central Supply unit need to service the entire hospital? Why not consider a decentralized Central Supply established for each floor?" This is an example of what type of thinking? a. Amiable thinker b. Critical thinker c. Traditional thinker d. Unrealistic thinker

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A nurse educator who has been teaching for a period of time uses the traditional teaching-learning process

Which of the following steps in the traditional teaching-learning process includes four steps in which sorting and categorizing the data is the third step? A) Planning B) Assessment C) Evaluation D) Documentation

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The nurse is working with a pregnant adolescent. The client asks the nurse how the baby's condition is determined during labor. The nurse's best response is that during labor, the nurse will do which of the following?

1. Check the client's cervix by doing a pelvic exam every 2 hours. 2. Assess the fetus's heart rate with an electronic fetal monitor. 3. Look at the color and amount of bloody show that the client has. 4. Verify that the client's contractions are strong but not too close together.

Nursing

A patient has a cast on his left wrist. Which statement is correct?

a. Blood pressure is measured on the injured arm. b. Blood pressure is measured on the right arm. c. The person decides what arm to use. d. You use the arm that is easiest to reach.

Nursing