When gathering data on clients with substance abuse and dependency, the nurse will expect to find the most common coping mechanism in clients, families, and nurses working with them to be:
1. Projection.
2. Sublimation.
3. Denial.
4. Rationalization.
3
Rationale: The families of clients with substance dependency and abuse often use denial to cope with the client's problem, and are likely to make excuses for the client, or attempt to explain away his behavior as normal.
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The nurse is caring for a patient who is recovering from knee replacement surgery. The patient complains of severe pain in the knee after receiving hydrocodone with acetaminophen (Vicodin) 2 hours previously. What is the nurse's best action?
a. Administer another dose of Vicodin. b. Apply ice packs to the knee. c. Apply heat packs to the knee. d. Perform gentle range of motion.
The nurse would identify which of the following strategies as a means of increasing feelings of empowerment?
a. Requesting an assignment to a different hospital unit b. Assisting friends to cover their shifts when they need time off c. Telling a coworker that a joke heard in private was inconsiderate and thoughtless d. Declining to work an extra shift and going to the movies with friends
The nurse notices that a child has reddish blue to purple bruises that have margins. How old are these bruises?
a. 5 days c. more than 10 days b. 7 days d. less than 1 day
The most predictive indicator of violence is
a. Impulsive behavior b. Psychiatric disorders c. Alcohol or drug abuse d. History of aggressive behavior and family violence