Clients may protect themselves psychologically by the extraordinary use of defense mechanisms. This need for protection is MOST frequently associated with which of the following conditions?
a. affection
b. anxiety
c. frustration
d. conflict
B
Defense mechanisms are unconscious responses used by persons to protect themselves from internal conflicts and external stress, which create anxiety. When the defense mechanism is used, the client's anxiety is reduced.
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The nurse is working on a pediatric unit with a 2-year-old client who requires venipuncture. Which of the following techniques might the nurse use in place of restraints during the venipuncture?
1. Distract the child with toys and games, and turn on the TV. 2. Play soft music to relax the child. 3. Place the child in the mother's lap facing the mother, who wraps her arms around the child. 4. Have several staff members in the room to hold the child down during venipuncture.
A suicidal client tells his psychiatric nurse practitioner, "My death will benefit my family; I'm 83-years-old and have outlived my usefulness." The nurse practitioner knows this is an example of:
1. Suicide theory. 2. Sociocultural theory. 3. Interpersonal theory. 4. Biologic theory.
The nurse asks a student in the nutrition class to give an example of a medium-fat meat and meat substitute group food. Which of the following is the best response?
A) 1 oz of cottage cheese C) 1 egg B) 1 tablespoon of peanut butter D) 1 small hot dog
The nursing faculty informs the nursing students to be prepared to do which one of the following regarding access to client records?
a. Show nursing staff student identification. b. Sign a confidentiality agreement prior to clinical placement. c. Review the medical record only in the presence of unit staff. d. Obtain permission from the client to access her medical record.