A client who admits himself to an alcoholism rehabilitation program tells the nurse that he is a social
drinker, usually having a drink or two at brunch and a few cocktails during the afternoon, wine at
dinner, and several drinks throughout the
evening. The client can be assessed as demonstrating
a. projection.
b. rationalization.
c. denial.
d. introjection.
C
Minimizing one's drinking is a form of denial of alcoholism. By his own description, he is more than
a social drinker. Option A: Projection involves blaming another for one's faults or problems. Option
B: Rationalization involves making excuses. Option D: Introjection involves taking a quality into
one's self system.
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A 45-year-old patient is admitted to the emergency department with severe abdominal pain and rebound tenderness. Vital signs include temperature 102° F (38.3° C), pulse 120, respirations 32, and blood pressure (BP) 82/54. Which prescribed intervention should the nurse implement first?
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A nurse is instructing a nursing assistant on techniques to facilitate lipreading with a hearing-impaired child who lip-reads. Which techniques should the nurse include (select all that apply)?
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