The majority of the treatment team maintains that a patient diagnosed with antisocial personality disorder needs external limits and careful observation, however two nurses state, "The patient is really a pleasant person
We shouldn't be so judgmental.". The most likely reason for the difference in staff opinions is that the patient has been using which coping mechanisms? a. Idealization and devaluation
b. Projection and rationalization
c. Splitting and projective identification
d. Reaction formation and identification
C
Splitting is the inability to integrate good and bad aspects of an object, resulting in treating the object as all good or all bad. Projective identification is the practice of projecting certain aspects of the self onto another, who then responds to the negative or positive projections in a manner consistent with the projections. When a patient idealizes the nurse, the nurse has a tendency to lose objectivity and move toward overinvolvement, overprotection, and indulgence. In this instance, two staff members are protective and indulgent, whereas others are more realistic.
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The mother of a 5-year-old child calls the clinic to ask if her child has a mild respiratory infection or needs to be seen. Which question by the nurse would elicit the most helpful information?
A. "Can your child swallow without pain?" B. "Does the child have a sore throat?" C. "Is your child coughing occasionally?" D. "Was the onset gradual or sudden?"
Which activities are within the role of the case manager? (Select all that apply.)
a. Gathering and organizing data about a client from client records and interviews b. Planning care for a client with emphasis on client satisfaction c. Coordinating care among a variety of health care professionals and settings d. Promoting the client's interests while negotiating necessary health care e. Advocating for the client and the family throughout the continuum of care f. Using resources for appropriate client health care services
Identify the teaching point that has the highest priority when the nurse is instructing a client about the home use of respiratory medications for treatment of his emphysema
a. If you stop taking expectorants suddenly, there will be a rebound effect. b. Avoid driving your car for 2 hours after using the nasal decongestant. c. Never use glass, stainless steel, or plastic when taking mucolytics. d. Be sure to use water either orally or in-haled with mucous secretions to decrease the amount of the secretions.
An older adult patient was diagnosed with schizophrenia at age 18. A nurse at the outpatient medication clinic interviews this patient. Which communication strategy will be most helpful?
a. Ask questions that can be answered with "yes" or "no." b. Ask clear, simple questions using concrete language. c. Use silence often and let the patient take the lead. d. Use open-ended, indirect questions.