The mother of a six-year-old boy who has recently had surgery for the removal of his tonsils and adenoids complains that he has begun sucking his thumb again
The nurse caring for the child should assure the mother that this is a normal response for a child who has undergone surgery and that it is a coping mechanism that children sometimes use called: 1. Repression.
2. Rationalization.
3. Fantasy.
4. Regression.
4
Rationale 1: Repression is the involuntary forgetting of uncomfortable situations.
Rationale 2: Rationalization is an attempt to make unacceptable feelings acceptable.
Rationale 3: Fantasy is a creation of the mind to help deal with an unacceptable fear.
Rationale 4: The correct answer is regression, which is a return to an earlier behavior.
Global Rationale:
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Which common assessment question does the nurse use when admitting all clients that helps to screen for cardiomyopathy?
A) What brought you to the emergency department today? B) Have you ever had a close family member die unexpectedly? C) When was the last time you had any nausea or heartburn? D) Did you have any common childhood diseases?
The nurse notes that a patient's blood pressure has been trending lower since admission. Which intervention demonstrates the nurse using information to guide nursing care? Select all that apply.
A) Measuring body temperature B) Measuring intake and output C) Monitoring for blood in stool D) Monitoring for blood in urine E) Monitoring level of consciousness
The physician prescribes sumatriptan for a patient's headache. Before administering this drug, the nurse should gather which assessment information?
a. Does the patient have a family history of migraines? b. Has the patient taken ergotamine in the past 24 hours? c. Has the patient taken acetaminophen in the past 3 hours? d. Is the patient allergic to sulfa compounds?
The mineral that has been determined to be essential for cardiac function is:
1. iron. 2. fluoride. 3. zinc. 4. magnesium.