The psychiatric nurse is caring for a 15-year-old girl who has been hospitalized for bipolar disorder. The client tells the nurse that she had her hair styled just like her young math teacher, whom she admires. Which defense mechanism should the nurse recognize that the client is using?
A. Projection
B. Regression
C. Identification
D. Intellectualization
Ans: C. Identification
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As health care costs continue to rise, efforts to cut costs have continued. The major method used to reduce costs to third-party payers has been to
A. Change the eligibility requirements. B. Convert reimbursement from a prospective payment to a retrospective payment plan. C. Require all clients to choose a managed care plan for reimbursement. D. Set fee schedules to restrict increases in provider payment.
An order is written for meperidine (Demerol), 500 mg IM q3–4h prn for pain. The nurse recognizes that this is significantly more than the usual therapeutic dose. Which of the following actions should the nurse take?
a. Give 50 mg IM as it was probably intended to be written. b. Refuse to give the medication and notify the nurse manager. c. Administer the medication and watch the client carefully. d. Call the prescriber to clarify the order.
A nurse cares for a client who is prescribed a 24-hour urine collection. The unlicensed assistive personnel (UAP) reports that, while pouring urine into the collection container, some urine splashed his hand. Which action should the nurse take next?
a. Ask the UAP if he washed his hands afterward. b. Have the UAP fill out an incident report. c. Ask the laboratory if the container has preservative in it. d. Send the UAP to Employee Health right away.
When assessing a patient from a different culture, what is the most effective approach to meet the goal of cultural sensitivity?
1. Teach the patient how to assimilate into the dominant culture. 2. Explain to the patient that values must be adjusted to reach a healthy state. 3. Determine what aspects of the patient's life should be preserved as they are. 4. Ask the patient how he or she is alienated from his or her primary cultural group.