Defense mechanisms are considered to be maladaptive when they:
a. are evoked in nonstressful situations
b. are unconscious decisions
c. become the only way of responding to a threat
d. do not protect the mind from stressors
C
Defense mechanisms such as somatization or abuse of drugs or alcohol are considered to be maladaptive when they become the only way a person responds to a threat, thus preventing the person from progressing toward resolution and acceptance of stress. An acute state of disorganization or crisis occurs when a person's stressors exceed her or his coping ability.
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A client, aged 15 years, has been referred to the mental health center by the juvenile court after being arrested for prostitution. Her parents told the court they could not manage her, that she was physically abusive to her mother and defiant and hostile to her father. At the mental health center she refused to participate in scheduled activities. She also pushed an elderly client, causing her to fall. The approach by nursing staff that would be most therapeutic is
a. neutrally permitting refusals. b. coaxing to gain compliance. c. offering rewards in advance. d. establishing firm limits.
Aortic regurgitation occurs after S2 during ____ because there is turbulent flow that refluxes into the left ventricle after the aortic valve closes
A. Early diastole B. Late diastole C. Early systole D. Mid-systole
A mother calls the emergency department nurse because her child was stung by a scorpion. The nurse should recommend
a. Administering antihistamine b. Cleansing with soap and water c. Keeping child quiet and come to emergency department d. Removing stinger and apply cool compresses
A nurse is overheard telling someone about a patient who was admitted for an alcohol problem. The information appears in the next day's newspaper and names the nurse as the informant. Which of the following should be done?
1. Implement the policy for an intentional violation of the HIPAA law regarding patient privacy. 2. Contact the newspaper and ask for a retraction. 3. Ignore the information in the paper, claiming it was hearsay. 4. Nothing.