The nurse counsels a mother to allow her 2-year-old child to keep a blanket that he uses to comfort himself. The basis for this counseling is:
a. Sullivan's theory of "good me"
b. Freud's developmental theory
c. Mahler's theory of object relations
d. Kernberg's conceptualization object constancy
ANS: C
Mahler's theory of object relations suggests that the child at this age has a beginning sense of object constancy and can use a representation of the mother for comfort. The child may use a blanket or other object to remind himself of the mother. The other theories mentioned are not as clearly related as Mahler's.
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A. Duodenum B. Gallbladder C. Liver D. Pancreas
A patient, age 36, is admitted with diarrhea and dehydration. The physician has ordered several diagnostic studies of the patient's stools. When obtaining a stool specimen to be examined for ova and parasites, the nurse should
a. use an oil retention enema to facilitate collection. b. refrigerate the specimen immediately. c. instruct the patient to obtain three different stool specimens on subsequent days. d. check the specimen for the presence of occult blood.
A patient diagnosed with common variable immune deficiency (CVID) has been admitted to your unit. In caring for this patient you will assess the patient for what condition commonly associated with CVID?
A) Systemic Candida B) Pernicious anemia C) Hypoplasia of the small intestine D) Thrombocytopenia
The nurse is assessing the client's neck. Which of the following findings is abnormal?
1. The client's carotid arteries are visibly pulsating. 2. The neck is symmetrical. 3. The tracheal cartilage does not move when the client swallows. 4. The thyroid has no palpable nodules.