A nurse who talks to teens about the dangers of tanning beds in causing skin cancer but loves to tan herself and does so before she goes on vacation is using which defense mechanism?
a. Substitution
b. Restitution
c. Suppression
d. Rationalization
A
Substitution is defined as disguising motivations by replacing an inappropriate behavior with one that is more acceptable. Restitution is defined as doing something to resolve guilt feelings; suppression is removing anxiety about a conflict from consciousness; and rationalization uses a good, but unreal, reason to make an excuse for an action.
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During an episode of acute mania a newly admitted client who is displaying hyperactive, restless,
and disorganized behavior goes into the dining room and begins to throw food and dishes. Verbal intervention is ineffective and seclusion is instituted. The items of documentation that should be included in the medical record include (more than one answer may be correct) A. 1750: Client entered dining room and began to shout and randomly throw food and dishes at walls and other clients. B. Continued to throw items despite limit setting and verbal redirection. Client refused to leave dining room. C. Client's behavior determined to pose a substantial risk of harm to others. Client escorted to seclusion without a struggle by four staff. D. Seclusion explained. Harmful items removed from room and person per unit protocol. E. 1800: prn lorazepam (Ativan) administered IM. F. 1815: Vital signs: blood pressure, 120/85 mm Hg; pulse, 90 beats/min; respirations, 22 breaths/min. Client lying on mattress. Chanting profanity.
A 43-year-old male presents to the emergency department in a stupor accompanied by his wife. She called the ambulance because her husband was difficult to awaken this morning
She reports that for the last 3 days, he has had fever and upper respiratory infection. Yesterday he had a headache. He has had no medical treatment. On physical examination, the patient demonstrates 103 fever, sluggish pupil response, and nuchal rigidity. Which of the following should the clinician attempt to elicit next? A. Hallpike maneuver B. Kernig's sign C. Epley maneuver D. Babinski's sign
Theories that include specific concepts, are broad enough to be useful in complex situations, and can be empirically tested are called
A. Grand theories. B. Middle-range theories. C. Practice-level theories. D. Nursing theories.
In the last 10 years in pediatric nursing, there has been an increase in:
1. Obesity. 2. Diabetes. 3. Hypertension. 4. All of the above.