A nurse interviews a person abducted and raped at gunpoint by an unknown assailant. The person says, "I can't talk about it. Nothing happened. I have to forget!" What is the person's present coping strategy?
a. Somatic reaction
b. Repression
c. Projection
d. Denial
ANS: D
The patient's statements reflect the use of the ego defense mechanism denial. This mechanism may be unconsciously used to protect the person from the emotionally overwhelming reality of rape. The patient's statements do not reflect somatic symptoms, repression, or projection.
You might also like to view...
The nurse is caring for an 80-year-old patient. Which finding is the best early indicator of dehydration in this patient?
a. Reduced skin turgor b. Constipation c. Increased temperature d. Thirst
A patient was admitted after falling from the roof of a one-story building. Assessment reveals presence of a patellar reflex, but loss of sensation in part of both feet. The nurse would plan for which level of bowel and bladder function?
1. Bladder function only 2. Bowel function only 3. Intact bladder and bowel function 4. Loss of both bladder and bowel function
What are the benefits of a holistic caregiver at the end-of-life? (Select all that apply.)
a. The caregiver communicates and responds to the patient's concerns about death. b. The caregiver embraces the value of palliative care rather than curative care. c. The caregiver helps the patient and family face loss and grieve in anticipation of loss. d. The caregiver encourages the patient to focus on wellness and recovery. e. The caregiver collaborates with other professionals for patient support.
A patient has been prescribed silver sulfadiazine (Silvadene) cream to treat burns on his leg. Normal adverse effects of silver sulfadiazine cream include:
1. Transient leukopenia on days 2 to 4 that should resolve 2. Worsening of burn symptoms briefly before resolution 3. A red, scaly rash that will resolve with continued use 4. Hypercalcemia