A young woman was brought into the emergency department by a friend after she had been assaulted outside of a movie theater. When questioned by the nurse, the young woman stated, "I'm not sure what happened. I just want to go home"
The nurse recognizes that the experience was traumatic for the young woman and hypothesized that the woman was using which of the following to cope with her experience? a. faked amnesia
b. denial
c. anger
d. frustration
B
The client is most likely using the defense mechanism of denial. The experience of the assault may have been so painful and stressful that denial was used to reduce the anxiety and stress.
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After a Jewish woman has given birth and returns to her room, the husband arrives with a camera. What is the best response for the culturally sensitive nurse?
a. "Here is a chair near the door so you can be comfortable while you visit." b. "I'll give you all some privacy because I know you want to give your wife a big hug." c. "Let me get some instructions for you to follow in her home care after she is dis-charged this afternoon." d. "Sit on the bed and put your arm around your wife, and I will take your photo-graph."
__________ refers to the use of space when communicating
Fill in the blank(s) with correct word
The nurse bathes a client and notes the client's skin color and integrity, muscle tone, and physical mobility. Why is this continued data collection considered important?
1. The nurse has to make efficient use of time. 2. It is difficult to do a complete assessment upon admission. 3. It enables revision of the nursing care plan. 4. Bathing allows for adequate time to assess the client.
What is McCaffery's definition of pain?
A. Whatever physical response that triggers the release of excitatory neurotransmit-ters resulting in the conscious perception of discomfort B. An abstract concept involving a harmful stimulus, which signals current or im-pending tissue damage C. A physical or emotional response to the presence of noxious stimuli that activates pain receptors D. Whatever the experiencing person says it is, existing whenever he or she says it does