A client accompanied her boyfriend to the emergency department after the two had been in a
motorcycle accident. The boyfriend was badly hurt, but the client had only minor cuts and bruises
and was discharged.
She mentioned to the nurse that since she was driving, she should have been the
one to be injured. Twenty-four hours later, while visiting her boyfriend, the client reported that she
was unable to move from her chair and unable to walk. Diagnostic workup revealed no physical
reason for the problem. The anxiety relief behavior the client is demonstrating is
a. acting out.
b. somatization.
c. withdrawal.
d. problem solving.
ANS: B
Somatization is the expression of an emotional conflict in physical symptoms. The client manifests
several physical symptoms associated with severe anxiety. Option A: Acting out refers to behaviors
such as anger, crying, laughter, and physical or verbal abuse. Option C: Withdrawal is a reaction in
which psychic energy is withdrawn from the environment and focused on the self in response to
anxiety. Option D: Problem solving takes place when anxiety is identified and the unmet need
serving as the origin of the anxiety is met.
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A patient is seen in the clinic for complaints of "fainting episodes that started last week." How should the nurse proceed with the examination?
a. Blood pressure readings are taken in both the arms and the thighs. b. The patient is assisted to a lying position, and his blood pressure is taken. c. His blood pressure is recorded in the lying, sitting, and standing positions. d. His blood pressure is recorded in the lying and sitting positions; these numbers are then averaged to obtain a mean blood pressure.
The physician has decided to induce labor with prostaglandin gel and an amniotomy. The nurse assures the patient that labor will probably start in:
a. 1 hour. b. 4 hours. c. 8 hours. d. 12 hours.
Places to the left of the decimal point represent fractions
Indicate whether the statement is true or false
Why do some authors prefer to have an even number of item responses on a Likert scale?
A) Provides respondents with an opportunity to be neutral B) Forces even mild leanings and avoids equivocation C) Minimizes the possibility of an acquiescence response set D) Ensures generating a fairly exhaustive set of item possibilities