A client has a history of excessive drinking, which has led to multiple arrests for driving under the influence (DUI). The client states, "I work hard to provide for my family. I don't see why I can't drink to relax"
The nurse recognizes the use of which defense mechanism? A. Projection
B. Rationalization
C. Regression
D. Sublimation
B
The nurse should recognize that the client is using rationalization, a common defense mechanism. The client is attempting to make excuses and create logical reasons to justify unacceptable feelings or behaviors.
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A community health nurse is contracting with a client receiving services in the home. The nurse and client are negotiating the activities for which each will be responsible. This activity would correlate to which phase of the nursing process?
A) Assessment B) Nursing diagnosis C) Planning D) Evaluation
A patient who is prescribed niacin (Niacor) reports experiencing flushing and hot flashes. What is the nurse's best action?
a. Hold the drug and notify the prescriber. b. Give the niacin at least 1 hour before meals. c. Reassure the patient that this is an expected side effect. d. Administer the ordered nonsteroidal anti-inflammatory drug (NSAID) 30 minutes before the niacin.
Rehabilitation starts when the person:
a. First seeks health care b. Seeks hospital care c. Is in an assisted living residence d. Is admitted to a nursing center
Cardiopulmonary resuscitation (CPR) is begun on a toddler. Which pulse is usually palpated because it is the most central and accessible?
a. Radial b. Carotid c. Femoral d. Brachial