When the patient who overeats insists that weight gain is related to retained fluids, the nurse recognizes the defense mechanism of:
a. compensation.
b. rationalization.
c. sublimation.
d. regression.
B
Defense mechanisms are unconscious reactions that offer protection to the self from stressful situations. Rationalization offers a reasonable explanation for an event rather than facing reality.
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What must nurses do to fulfill a collaborative role?
1. Graduate with at least a baccalaureate degree. 2. Assume increased authority in practice areas. 3. Redesign unit policies to allow collaboration. 4. Lobby state boards of nursing to approve this collaborative role.
A patient is admitted to the intensive care unit for treatment of shock. The prescriber orders isoproterenol [Isuprel]. The nurse expects this drug to increase tissue perfusion in this patient by activating:
a. alpha1 receptors to cause vasoconstriction. b. alpha1 receptors to increase blood pressure. c. beta1 receptors to cause a positive ino-tropic effect. d. beta2 receptors to cause bronchodilation.
Which strategy would the nurse use during the termination component of the nurse-family relationship?
a. Increasing sessions with the nurse b. Making referrals when appropriate c. Providing a formative evaluation of the relationship d. Refusing additional communication with the family
Which assessment finding would necessitate action by the nurse for a 10-month-old child who is 4 hours postoperative for the placement of a urethral stent?
1. Bloody urine 2. One void since returning from surgery 3. Bladder spasms responding to pharmacologic intervention 4. Double diapering from the previous shift