During a follow-up visit, the nurse discovers that a patient has not been taking his insulin on a regular basis. The nurse asks, "Why haven't you taken your insulin?" Which statement is an appropriate evaluation of this question?
a. This question may place the patient on the defensive.
b. This question is an innocent search for information.
c. Discussing his behavior with his wife would have been better.
d. A direct question is the best way to discover the reasons for his behavior.
ANS: A
The adult's use of "why" questions usually implies blame and condemnation and places the person on the defensive. The other statements are not correct.
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The main mechanism used by patients who have personality disorders is:
A. Projection. B. Manipulation. C. Introjection. D. Repression.
Which of the following are true about Alcoholics Anonymous? (Select all that apply)
A. A physician referral is needed. B. Family and friends are encouraged to attend the regular meetings with the alcoholic. C. No last names are used at the meetings. D. The group for family members is Al-Anon. E. Offshoots such as Narcotics Anonymous follow a different philosophy. F. The individual is encouraged to admit he or she is powerless over alcohol.
The nurse who treats clients with schizophrenia knows that early diagnosis and treatment may reduce chronicity and improve the prognosis. When teaching nursing students about schizophrenia, the nurse tells them that women:
A) Have an earlier onset, better treatment, and more relapses than men. B) Have more relapses but a higher quality of life with the illness than men. C) Have better treatment response, later onset, and higher quality of life than men. D) Have a later onset, better treatment, and more relapses than men.
Which skin conditions should the nurse identify as having a genetic or inherited component during a presentation to the staff nurses who work in the integument clinic? Select all that apply
1. Atopic dermatitis 2. Seborrheic dermatitis 3. Epidermolysis bullosa 4. Molluscum contagiosum 5. Psoriasis