The nurse is assessing a client who is talking about her son's recent death but who shows no emotion of any kind. The nurse recognizes this behavior as which of the following defense mechanisms?
A) Dissociation
B) Displacement
C) Intellectualization
D) Suppression
C
Feedback: In intellectualization, the client is aware of the facts of the situation but does not show the emotions associated with the situation. Dissociation involves dealing with emotional conflict by a temporary alteration in consciousness or identity. Displacement is the ventilation of intense feelings toward the person less threatening than the one who aroused those feelings. Suppression is replacing the desired gratification with one that is more readily available.
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How would the nurse explain how acute care nursing is different from community-based care?
1. Acute care focuses on short-term nursing interventions. 2. In acute care, illness is seen as a part of living. 3. The purpose of acute care is to improve functional capacity and quality of life. 4. Nursing autonomy is greater in acute care practice.
Upon entering the client's room at the beginning of a shift and throughout the shift, the nurse assesses the client. The nurse considers the client's plan of care and response to nursing interventions during the assessments
What type of assessment is the nurse performing? A) Ongoing partial assessment B) Comprehensive assessment C) Focused assessment D) Emergency assessment
A nurse is caring for a pregnant woman who has a pre-pregnancy body mass index (BMI) of 27. Which of the following instructions should the nurse provide the woman regarding weight gain during pregnancy?
a. You should gain 11 to 20 pounds during your pregnancy. b. You should gain 15 to 25 pounds during your pregnancy. c. You should gain 25 to 35 pounds during your pregnancy. d. You should gain 28 to 40 pounds during your pregnancy.
After ignoring a unit rule regarding being weighed, a patient receiving treatment for an eating disorder tells the nurse, "I can't get weighed this morning, because I drank a glass of juice a few minutes before breakfast."
Which statement by the nurse is consistent with treatment principles? a. "I'm pleased that you took in some calories." b. "This is weight day. Please step on the scale." c. "We need to discuss why you chose to ignore the rules about being weighed." d. "The rule is ‘weigh before eating'; now we have to put it off until tomorrow."