A young adult's chief complaint is "seizure fits." A chart review shows a negative EEG report and a normal neurological consultation report. A psychosocial history reveals increased family stress, bankruptcy, and a recent divorce

The nurse recognizes that this young man's pseudo-seizures most likely are an example of which unconscious coping mechanism?
a. Compensation
b. Conversion
c. Dissociation
d. Denial


ANS: B
A conversion reaction is an ego defense mechanism that involves repressing an anxiety-producing conflict and transforming it into a nonorganic symptom such as difficulty sleeping, loss of appetite, or sudden blindness without medical cause. Compensation is making up for a deficiency in one aspect of self-image by strongly emphasizing a feature considered an asset. Dissociation involves experiencing a subjective sense of numbing and a reduced awareness of one's surroundings. Denial is seen as avoiding emotional conflicts by refusing to consciously acknowledge anything that causes intolerable emotional pain.

Nursing

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The nurse is providing instructions about how to treat a sprained ankle. What statement by the mother does the nurse recognize as indicative of a need for additional teaching?

a. "Apply warm compresses to the ankle for the first 24 hours." b. "Put an ice pack on the ankle, alternating 30 minutes on with 30 minutes off." c. "Wrap the ankle in an Ace bandage for support." d. "Keep the leg elevated when sitting."

Nursing

Based on this description, what is the most likely diagnosis?

A 28-year-old patient comes to the office for evaluation of a rash. At first there was only one large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of erythematous papules and macules on the cleavage lines of the back. A) Pityriasis rosea B) Tinea versicolor C) Psoriasis D) Atopic eczema

Nursing

A pregnant woman tells the nurse–midwife, "I've heard that if I eat certain foods during my pregnancy, the baby will be a boy

" The nurse–midwife's response should explain that this is a myth, and that the sex of the baby is determined at the time of: 1. Ejaculation. 2. Fertilization. 3. Implantation. 4. Differentiation.

Nursing

Creating an artificial opening in the abdominal wall and bringing a section of the colon to it for elimination purposes is called a/an

A. colectomy. B. colostomy. C. ileostomy. D. gastrectomy.

Nursing