Your patient Vicky just received a diagnosis of terminal cancer. You plan to speak to her about her response to the diagnosis.. When you reach her room, you find Vicky on the phone
As you're standing in the doorway, she starts laughing. You are startled when she states, "Why are you looking so sad? Obviously the tests were wrong. I am not that sick." The patient is displaying:
A.
Transference.
B.
Regression.
C.
Denial.
D.
Isolation.
ANS: C
The patient is experiencing unconscious refusal to see reality that provides a protection from facing something so distressing.
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A 75-year-old patient has normal age-related changes in his ear. What change should not be considered a normal change in the aging patient?
a. Dry and wrinkled skin on the auricle b. Otitis externa c. Dry cerumen d. Hair in the ear canal
A client asks why a specimen taken from chorionic villi can give information about the baby. The nurse correctly explains:
a. "Antibodies produced in response to infection and filtered out by the placenta may be identified through this procedure." b. "Cells that are shed by the baby are eliminated through the chorionic villi." c. "Specific proteins are produced by the chorionic villi that can signal problems." d. "The chromosomes taken from the chorionic villi are the same as the baby's chromosomes."
Which drug category includes the penicillins?
a. Protein synthesis inhibitors b. Cell wall synthesis inhibitors c. DNA synthesis inhibitors d. Metabolism inhibitors
The patient asks the nurse, "Why do I have to sign this form? What good does it do me?"
The nurse responds by explaining that the form outlines the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and that HIPAA was enacted primarily to: a. Protect patient confidentiality and privacy. b. Render insurance companies accountable for payment for services. c. Ensure that a person could move his or her health insurance from one place of employment to another. d. Prevent cultural, ethnic, or gender-based discrimination against patients.